A Child with incomplete Kawasaki disease and erythema marginatum

Abstract

Incomplete or atypical Kawasaki disease (KD) may delay or obscure the diagnosis of this disease. In the absence of full classical presentations, laboratory signs of KD and also criteria of coronary arteries involvement can help toward correct diagnosis and starting appropriate therapy. Erythema marginatum is a rare skin rash that predominantly seen in acute rheumatic fever. We report a 6-year-old child with fever and unilateral cervical lymphadenopathy and transient erythema marginatum, with diagnosis of incomplete KD, treatment with intravenous immunoglobulin (IVIG) started and had dramatic response to it.

Keywords: Atypical, Erythema marginatum, intravenous immunoglobulin