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An Atypical Presentation of Kawasaki Syndrome in an Infant
Author(s) -
Friedman Allan D.
Publication year - 1988
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/j.1525-1470.1988.tb01152.x
Subject(s) - medicine , kawasaki disease , rash , differential diagnosis , pediatrics , autopsy , presentation (obstetrics) , complication , dermatology , vasculitis , disease , artery , surgery , pathology
Abstract: Kawasaki syndrome (KS) is a vasculities of childhood, ihe enology 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 theraps can reduce the risk of cardiac complication. Autopsy findings of patients with KS who did not fit CDC criteria for symptoms have heen 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 atyp ical 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 consider ation of an echocardiogram.