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Acute Febrile Mucocutaneous Lymph Node (Kawasaki) Syndrome
Author(s) -
VelezTorres Rafael,
Callen Jeffrey P.
Publication year - 1987
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/j.1365-4362.1987.tb00531.x
Subject(s) - medicine , kawasaki disease , mucocutaneous lymph node syndrome , mucocutaneous zone , rash , pediatrics , vasculitis , fever of unknown origin , lymph node , disease , dermatology , surgery , artery
Twenty‐five cases of Kawasaki syndrome were seen over a 6‐yoar period at Children's Hospital in Louisville, Kentucky. The diagnosis of Kawasaki Syndrome was established in all cases by use of the criteria developed at the Center for Disease Control (CDC). The medical files of these cases were systematically reviewed for epidemiologic, clinical, laboratory, and therapeutic features. The results of this study were comparable to findings from previously reported series. In contrast to previous data, we found several cases in which the febrile illness was associated with a viral infection. Two children developed coronary aneurysms, but there were no deaths, and resolution of the aneurysm occurred in one of the patients. There were no clustering of cases and no unusual epidemiologic findings; none of the patients had a recurrence. Patients with Kawasaki syndrome should be followed closely during both the acute febrile and the convalescent phases. Similar conditions in a child with a fever and a rash need to be excluded.