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November 28, 1980

Mucocutaneous Lymph Node Syndrome in Adults

Author Affiliations

Sherman Oaks, Calif
University of Rochester Rochester, NY

JAMA. 1980;244(21):2416. doi:10.1001/jama.1980.03310210018015

To the Editor.—  The letters between James K. Todd, MD, and E. Dale Everett, MD (243:1631, 1980), concerning the question of whether mucocutaneous lymph node syndrome (MLNS) (Kawasaki disease) can occur in adults are of interest to us as authors of a report on this syndrome in an adult (discussed with Dr Kawasaki in 1976 before submission of our report for publication).1Our patient was a 30-year-old woman, the patients described by Everett (242:542, 1979) were women aged 16 to 27 years, and another patient reported on2 was an 18-year-old woman. The ages are all well beyond the range reported by Kawasaki et al.3 Nevertheless, the signs exhibited by these patients conform to the six principal features and to many of the secondary features listed by Kawasaki. Kawasaki's graph of age distribution of MLNS shows a peak in the second year, but does not go to zero