Document Detail

An atypical presentation of Kawasaki syndrome in an infant.
MedLine Citation:
PMID:  3412993     Owner:  NLM     Status:  MEDLINE    
Kawasaki syndrome (KS) is a vasculitis of childhood, the etiology of which is unknown. Diagnosis is based on the Center for Disease Control (CDC) criteria in which skin and mucous membrane findings play a key role. Coronary artery involvement can be fatal. Prompt diagnosis and initiation of therapy can reduce the risk of cardiac complication. Autopsy findings of patients with KS who did not fit CDC criteria for symptoms have been reported. Infants, in particular, may have an atypical clinical course resulting in delayed diagnosis and initiation of treatment. This case presents an infant with fever and an atypical rash who did not fit diagnostic criteria. Differential diagnosis of infants with prolonged fevers and rash, who do not fit into other diagnostic categories, should include KS and an appropriate cardiac examination including consideration of an echocardiogram.
A D Friedman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric dermatology     Volume:  5     ISSN:  0736-8046     ISO Abbreviation:  Pediatr Dermatol     Publication Date:  1988 May 
Date Detail:
Created Date:  1988-10-13     Completed Date:  1988-10-13     Revised Date:  2009-03-03    
Medline Journal Info:
Nlm Unique ID:  8406799     Medline TA:  Pediatr Dermatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  120-2     Citation Subset:  IM    
Department of Pediatrics/Adolescent Medicine, St. Louis University School of Medicine, Missouri.
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MeSH Terms
Age Factors
Dermatitis / diagnosis,  etiology
Diagnosis, Differential
Fever / drug therapy,  etiology
Mucocutaneous Lymph Node Syndrome / complications,  diagnosis*

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