Turkish Archives of Pediatrics
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Exploring the Therapeutic Potential of Vitamin D in Kawasaki Disease and Its Interplay with the COVID-19

1.

Medical Program, Universitas Airlangga Faculty of Medicine, Surabaya, Indonesia

2.

Department of Pediatrics, Airlangga Teaching Hospital, Universitas Airlangga Faculty of Medicine, Surabaya, Indonesia

3.

Department of Pediatrics, Dr Soetomo General Hospital, Universitas Airlangga Faculty of Medicine, Surabaya, Indonesia

4.

Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands, GD

Turk Arch Pediatr 2024; 59: 432-439
DOI: 10.5152/TurkArchPediatr.2024.24141
Read: 967 Downloads: 415 Published: 02 September 2024

Objective: Several studies have reported outbreaks of Kawasaki disease among children amid the coronavirus disease 2019 (COVID-19) pandemic. Vitamin D possesses high utility in modulating the immune system to repair and prevent severe inflammation in COVID-19. This study aims to explore the association between Kawasaki disease and vitamin D levels in pediatric patients and describe the potential role of vitamin D in promoting recovery and preventing complications associated with Kawasaki disease in pediatric patients with COVID-19.

Materials and Methods: The association between Kawasaki disease and vitamin D was explored adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, utilizing databases such as PubMed, Google Scholar, and ScienceDirect. The association between COVID-19 and Kawasaki disease was also assessed by reviewing relevant literature.

Results: Most studies indicated that patients with Kawasaki disease had lower vitamin D levels. Vitamin D supplementation was also found to be deficient in the pediatric population with Kawasaki disease. Inflammation of the endothelium, cytokine storms, and endothelial dysfunction in patients suffering from COVID-19 may contribute to the development of Kawasaki disease. Vitamin D is believed to have protective potential for Kawasaki disease outcomes by modulating the inflammatory response.

Conclusion: Administering vitamin D to pediatric patients with viral infections like COVID-19 is expected to accelerate clinical improvement and prevent complications from Kawasaki disease.

Cite this article as: Visuddho V, Welliam Y, Maitri Aldian F, Tri Arif Sampurna M, Irzaldy A. Exploring the therapeutic potential of vitamin D in Kawasaki disease and its interplay with COVID-19. Turk Arch Pediatr.2024;59(5):432-439.

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