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 CASE REPORT
Year : 2003  |  Volume : 49  |  Issue : 1  |  Page : 72-4

Incomplete Kawasaki disease with recurrent skin peeling: a case report with the review of literature.


Department of Paediatric Cardiology, Madras Medical Mission Hospital, 4A, JJ Nagar, Moggapair, Chennai-600 050, India. , India

Correspondence Address:
R C Parmar
Department of Paediatric Cardiology, Madras Medical Mission Hospital, 4A, JJ Nagar, Moggapair, Chennai-600 050, India.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0022-3859.924

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Kawasaki disease (KD) is an acute systemic vasculitis of unknown aetiology that has largely replaced rheumatic heart disease as a cause of acquired heart disease in children of many developed countries. We report a case of incomplete KD in a five-year-old girl. The diagnosis of incomplete KD was made after exclusion of conditions with similar presentation. She was treated with intravenous immunoglobulin following which she made an uneventful recovery but demonstrated thrombocytosis in the second week of convalescence. During the six-month follow up period, she had two episodes of recurrent skin peeling a phenomenon, which is recently reported with KD but not with atypical or incomplete KD. It is important for the treating physicians to become aware of the incomplete KD as prompt diagnosis and early treatment of these patients with intravenous immunoglobulin is vital for the prevention of lethal coronary complications. Physicians need to have a "high index of suspicion" for KD and even, higher for IKD.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow