• Catherine Hyams, Thomas G Day, Shiva Ramroop, Stephanie Paget, Sasha Howard, Merlin McMillan, Surabhi Vora, and Paul de Keyser.
• Department of Paediatrics, Chase Farm Hospital, Barnet and Chase Farm Hospitals NHS Trust, London, England.
• Pediatr Cardiol. 2012 Oct 1; 33 (7): 1196-9.

AbstractHere we present an unusual case of incomplete Kawasaki disease in a 15-year-old boy returning from a holiday with his family in Montana. His symptoms were initial diarrhoea and lethargy, with fever, rash, conjunctivitis, and arthralgia developing during the course of his illness. His condition worsened while he was at his local hospital, and he was transferred to the regional tertiary paediatric hospital. An initial echocardiogram was normal; however, repeat echocardiogram showed dilated coronary arteries with subsequent development of peeling of the skin on the hands and feet. The patient was started on intravenous immunoglobulin and high-dose aspirin and improved clinically. He was discharged home and remains under follow-up by the infectious diseases and cardiology teams.

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