TITLE:
Complete Kawasaki Disease in a 21-Year-Old Caucasian Patient
AUTHORS:
Francesco Drago, Sanja Javor, Giulia Ciccarese, Emanuele Cozzani, Aurora Parodi
KEYWORDS:
Kawasaki Disease, Adult Patient, Classification
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.4 No.5,
May
20,
2015
ABSTRACT: Kawasaki disease is a rare condition in adults and it may remain unrecognized because many pa-tients do not fulfil all the diagnostic criteria for the diagnosis of “complete” Kawasaki disease. The authors report a case of 21-year-old male Caucasian patient complaining fever and presenting a diffuse maculopapular and erythema multiforme-like eruption, erythema and edema of the hands, feet and ears, non-exudative bilateral conjunctivitis, injected lips, strawberry tongue and symmetrical widespread lymphadenopathy. On the basis of clinical presentation, laboratory results and diagnostic criteria, a diagnosis of complete Kawasaki disease has been done. After treatment with systemic corticosteroids and aspirin (100 mg trice daily), the patient showed clinical improvement with typical large scale desquamation of the hands. The patient did not present any complication during one month follow-up. It is important to be familiar with the signs and symptoms of Kawasaki disease, because early diagnosis and adequate treatment is crucial for the prevention of cardiovascular morbidity and mortality.