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Non-Langerhans cell histiocytosis in a child with Kawasaki disease
Ho-Chang Kuo1, Chih-Chiang Wu, Tsung-Hsien Yang
1Chang Gung Memorial Hospital-Kaohsiung Medical Center, Taiwan, 123, Ta-Pei Road, Niaosung Hsiang, Kaohsiung, 833, Taiwan.
Abstract:
Polymorphous skin rashes are one of the major presentations in children with Kawasaki disease. This report describes an unusual presentation of a skin rash (non-Langerhans cell histiocytosis) in a 4-month-old baby with resistance to intravenous immunoglobulin (IVIG) treatment and coronary artery dilatation. Though refractory to repeat dosages of IVIG treatment, the patient had a favourable response to methylprednisolone pulse therapy.