Rapid Responses to:

CLINICAL REVIEW:
Nick Archer
cardiological issues
BMJ 2003; 327: 918 [Full text]
*Rapid Responses: Submit a response to this article

Rapid Responses published:

[Read Rapid Response] Clopidogrel in Kawasaki's
Andrew A Plumb   (26 October 2003)

Clopidogrel in Kawasaki's 26 October 2003
  Top
Andrew A Plumb,
Medical Student
John Radclife Hospital, Oxford, OX3 9DU

Send response to journal:
Re: Clopidogrel in Kawasaki's

Is there a role for clopidogrel rather than aspirin in Kawasaki's disease? Presumably this would avoid the risks of Reye's syndrome and have the required anti-platelet effect. Since Kawasaki's is relatively rare, the annual cost would be low, albeit significantly higher in percentage terms than using aspirin. Is there any experience with such an approach (i.e. using clopidogrel in children), or evidence of its effectiveness compared to aspirin?

Competing interests: None declared