• Rheumatol. Int. · Aug 2016

    Letter Case Reports

    A 5-year-old boy with only fever and giant coronary aneurysms: the enigma of Kawasaki disease?

    • Pandiarajan Vignesh, Sagar Bhattad, Manphool Singhal, and Surjit Singh.
    • Paediatric Allergy Immunology Unit, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India. vigimmc@gmail.com.
    • Rheumatol. Int. 2016 Aug 1; 36 (8): 1191-3.

    AbstractEpidemiological case definition of Kawasaki disease (KD) by the American Heart Association requires the presence of fever and four of the following: eye signs, oral mucosal changes, skin rashes, limb edema, and unilateral cervical lymphadenopathy. Incomplete KD is a well-known entity where there is lack of some of mucocutaneous features, and this occurs more often in infants. We report a 5-year-old boy with KD and giant coronary aneurysms, who presented only with fever and there is complete lack of skin and mucosal manifestations at presentation.

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