Unusual aspects of Kawasaki syndrome

Kawasaki syndrome (mucocutaneous lymph node syndrome) occurs predominantly in children. The criteria for diagnosis include unresponsive fever; lesions of the skin and conjunctival mucous membrane; edema, rashes and other abnormalities of the hands and feet, and cervical lymphadenopathy. Unusual features occur in the cardiovascular, gastrointestinal and central nervous systems, as well as elsewhere. The variety of findings may be misleading, and the diagnostic criteria must be kept in mind.