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. 2020 May 28;7:94. doi: 10.3389/fcvm.2020.00094

Table 1.

Comparison of human KD to common murine models of KD.

Human KD CAWS LCWE
Pathogenesis Unknown Superantigen Superantigen
Etiology Unknown Candida albicans water soluble injection Lactobacillus casei cell wall extract injection
Animal Human Mice Mice
Arteritis medium-sized,
muscular arteries, includes epicardial coronary arteries
Targets elastic arteries, including aortic root Elastic arteries, aortitis, proximal coronary arteritis, abdominal aorta dilatations.
Histology Early neutrophils, mixed data on granulomas Monocytes, macrophages, neutrophils Granulomatous
Myocarditis Subclinical,
Tachycardia
Significant Significant, CK-MB and troponin rise, late myofibrosis
Timing Adventia/intima to pan vasculitis Progresses from initial intima layer slowly to panvasculitis np
Therapy that reduces coronary inflammation IVIG shows efficacy, Cyclosporine A efficacious in higher risk individuals TNF a blocks arteritis
IVIG partially blocks arteritis
IVIG timing influences effect
Diminished by IVIG, anti-TNFα, anti-IL-1
Long term findings Unclear associations
Limited pathologic samples, mixed reports
np Atherosclerosis, myofibrosis

np, not published.