RT Book, Section
A1 Sabella, Camille
A1 Qureshi, Athar M.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114878362
T1 Kawasaki Disease
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114878362
RD 2024/04/19
AB A  13-month-old  previously  healthy  boy  was  admitted  to  the  hospital  with  a  7-day  history  of  high  fever  and  marked  irritability.  Over  the  past  3  days,  his  parents  noted  that  he  had  developed  a  red  rash  over  his  face,  trunk,  and  extremities,  as  well  as  redness  and  cracking  of  his  lips.  He  was  also  noted  to  have  swelling  in  his  hands  and  feet.  He  was  admitted  because  of  concern  of  Kawasaki  disease.  On  physical  examination,  he  was  irritable  and  ill-appearing,  had  a  diffuse  pleomorphic  rash  on  his  face,  trunk,  and  extremities  (Figure  177-1),  nonpurulent  conjunctivitis,  cracked  fissured  lips  (Figure  177-2),  a  tender  2  cm-diameter  lymph  node  in  his  posterior  cervical  area,  and  swelling  in  his  extremities  (Figure  177-3).  He  was  treated  with  intravenous  immune  globulin  and  high-dose  aspirin  and  recovered  completely.  Baseline  echocardiography  did  not  reveal  any  coronary  artery  abnormalities.  Follow-up  echocardiograms  2  weeks  and  8  weeks  after  his  presentation  were  normal.