Table 2. Comparison of characteristics between SJIA and KD

Variables SJIA KD
Demographic/etiology
 Age 1–5 years & 10–14 years < 5 years (mean 2.4)
 Sex M ≒ F (other JIAs, M < F) M > F
 Race/ethnicity No differences East Asia
 Infectious triggers NA, possible? Important, but unknown
 Distinct cytokines IL-181) IL-6
Clinical
 Fever Quotidian, spike ≥ 2 weeks Persistent ≥ 5 days
 Rash Evanescent erythematous Polymorphous
 Arthritis Symmetric (~80%) Transient (~⅓)
 Organ dysfunction1) Possible Possible (e.g., KDSS)
Laboratory
 Neutrophilia Common Common
 Thrombocytosis Common Common
 CRP elevation Common Common
 Anemia1) Possible2) Possible2)
 Abnormal AST/ALT/albumin1) Possible2) Possible2)
 Hyperferritinemia1) Possible2) Possible2)
 D-dimer elevation1) Possible2) Possible2)
 NT-proBNP elevation Uncommon Common
Treatment/outcomes
 1st line DMARDs, steroids IVIG + aspirin
 2nd line Anakinra, tocilizumab Steroids, infliximab
 Cardiac complications CAAs (possible), transient?Pericarditis (~40%) CAAs (~25%), long-term sequelsPericarditis (common on ECHO)
 Disease course Polyphasic, chronic, recurrent Monophasic, acute, self-limiting
 Mortality 0.6% (6/962) [43,44] 0.02% (2/14,916) [23,42]
Principal features of MAS and can be seen in SJIA/MAS and KD/MAS.
Laboratory findings for severe or atypical forms of SJIA and KD (e.g., active SJIA, refractory KD, or incomplete KD).
SJIA: systemic juvenile idiopathic arthritis; KD: Kawasaki disease; M: male; F: female; NA: not available; IL: interleukin; KDSS: Kawasaki disease shock syndrome; CRP: C-reactive protein; AST: aspartate aminotransferase; ALT: alanine aminotransferase; NT-proBNP: N-terminal pro-brain natriuretic peptide; DMARDs: disease-modifying antirheumatic drugs; IVIG: intravenous immunoglobulin; CAAs: coronary artery abnormalities; ECHO: echocardiogram; SJIA/MAS: SJIA complicated with macrophage activation syndrome; KD/MAS: KD complicated with MAS.