November 1988

Kawasaki Disease With an Exanthem Limited to the Diaper Area

Author Affiliations

Departments of Pediatrics and Dermatology Case Western Reserve University School of Medicine at Cleveland Metropolitan General Hospital 3395 Scranton Rd Cleveland, OH 44109

Am J Dis Child. 1988;142(11):1136-1137. doi:10.1001/archpedi.1988.02150110014001

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Sir.—The occurrence of a rash, usually described as truncal, is one of the major criteria for the diagnosis of Kawasaki disease.1 The exanthem may appear morbilliform or scarlatiniform or may be composed of erythematous plaques or papules, thereby simulating urticaria or erythema multiforme.1,2 Less frequently, vesicles, pustules, or petechiae may be observed.1 Recently, three groups of investigators have described patients with Kawasaki disease in whom the exanthem either began or was most prominent in the diaper area.2-4 We report a 21-month-old child with Kawasaki disease whose

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