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Rheumatology Advance Access originally published online on July 15, 2006
Rheumatology 2006 45(11):1444-1445; doi:10.1093/rheumatology/kel194
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© The Author 2006. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Severe cutaneous manifestations in a child with refractory Kawasaki disease

F. Falcini, L. Ricci, G. M. Poggi, G. Simonini, G. B. Calabri1 and M. de Martino

Department of Pediatrics, Rheumatology Unit, University of Firenze and 1Cardiology Unit, A. Meyer Children's Hospital, Firenze, Italy

Correspondence to: Fernanda Falcini, MD, Department of Paediatrics-Rheumatology Unit, Via Pico della Mirandola 24, 50132 Firenze, Italy. E-mail: falcini@unifi.it

The first 10% of the full text of this article appears below.


   Introduction
 
SIR, We report a child with refractory Kawasaki disease (KD), who presented severe scattered crusting skin lesions as predominant manifestation of the disease.


   Case report
 
A 17-month-old boy presented to our department with a 3 day history of fever reaching 39°C, resistant to amoxicillin, along with a maculopapular rash on the face, trunk and limbs. Past medical history was unremarkable. Routine laboratory work-up revealed erythrocyte sedimentation rate (ESR) 72 mm/h, C-reactive protein (CRP) 13.67 mg/dl (nv < 0.35), haemoglobin 10 g/dl, white blood cell count 26.50 x 103/mm3, fibrinogen 837 . . . [Full Text of this Article]


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