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October 3, 1980

Kawasaki Disease in a 28-Year-Old Man

JAMA. 1980;244(14):1604-1606. doi:10.1001/jama.1980.03310140062034

KAWASAKI disease or mucocutaneous lymph node syndrome was first observed in Japanese children in 1961 by Tomisaku Kawasaki, MD, who reported his experience with 50 cases in 1967.1 The syndrome is described as an acute febrile illness with erythema of the conjunctivae and mucous membrane of the upper respiratory tract, erythema and edema of the hands and feet, polymorphous rash, characteristic desquamation, and usually anterior cervical lymphadenopathy.

Since 1975, the Center for Disease Control has confirmed 112 cases of the disease in this country. Although the disease has been believed to occur only in children from infancy to 13 years, recent reports concern young adults.2,3 It is the authors' opinion that the following case represents Kawasaki disease in a 28-year-old man.

Report of a Case  In July 1978, a 28-year-old man from Cedar Rapids, Iowa, was vacationing in a suburban area in Colorado when he awoke with pain