This department of AJDC is reserved for comment, criticism, observation, and discussion of "issues of current concern and importance for children's health." The Editor encourages our readers to express themselves on a variety of topics and issues. Further, we encourage the submission of unique and brief clinical and scientific observations that do not fulfill the criteria for original articles.
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
KROWCHUK DP, BASS J, ELGART GW. Kawasaki Disease With an Exanthem Limited to the Diaper Area. Am J Dis Child. 1988;142(11):1136-1137. doi:10.1001/archpedi.1988.02150110014001