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KD Pathology Registry
KD Articles
KD Sites
KDPath Team
More

Registry for suspected cases of Kawasaki Disease

Pathologist's Information

Enter Name of Institution

Enter Last Name

Enter First Name

Enter Email address

Phone number: ###-###-####

Enter phone extension, if any

Decedent's information

Enter Institutional Case number

Ethnicity

Coronary artery aneurysm?

Medical history (check all that apply)

Trauma

Drug/Alcohol

Suicide

Cancer

Congenital heart disease

Obesity

Diabetes

Hypertension

Hyperlipidemia

Unknown

Age at death (years). Enter "0.5"= 6 mos old

Sex

Enter Cause of death

Next-of-kin information available?

Coronary artery calcification?

Coronary artery stenosis/occlusion?

History of KD?

Autopsy performed?

Select date of autopsy

An error occurred. Please notify us at: kdresearch@ucsd.edu

Your case has been submitted for review. We will contact you within 2 weeks. Thank you.

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