Arch Dis Child Educ Pract Ed 98:41 doi:10.1136/archdischild-2013-303902
  • Epistle

Highlights from this issue

  1. Ian Wacogne, Deputy Editor, E&P

Writing these notes for the start of the journal, I usually need to decide how focused—or wide ranging—they are going to be. By this, I mean, am I going to write about just one or two articles, or am I going to try to cover all of the journal? This month I'm particularly interested in a pair of papers about Kawasaki disease.

Kawasaki disease has an illustrious history in Education and Practice, not least because a paper by Ian Maconochie from the very first issue of this journal1 is still one of our most popular downloads online. Of course, things have come a long way since 2004 in our understanding of this disease, and how to treat it, haven't they? Haven't they? If I summarise the treatment alternatives and Ian's conclusions in 2004, he describes (and of course I grossly simplify): Aspirin good, immunoglobulins good, steroids, um, confusing. This has been translated by most of us into use of the first two, and avoidance of the third. Fast forward to 2013, and the two Pickets we're carrying this month on that disease (see pages …