A case of Kawasaki disease presenting with atypical cutaneous involvement and mimicking Stevens-Johnson syndrome

Abstract

Kawasaki disease is the second most common cause of childhood vasculitis. Cutaneous manifestation, which is the diagnosticcriteria of Kawasaki disease, may show atypical course and causes conflict in diagnosis for physicians. A 14-month-old girltreated with intravenous immunoglobulin after diagnosed with KD. Target lesions and a vesicular rash developed on the wholebody during the course of the disease. Methylprednisolone was added to the treatment. All atypical skin lesions and diseasefindings were improved using IVIG and subsequent methylprednisolone therapy. Cutaneous signs of KD may show atypicalcourse. Thus, it may lead to confusion in diagnosis with Stevens-Johnson syndrome.