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DermAtlas: HAND - Kawasaki syndrome (mucocutaneous lymph node syndrome)
© 2001-2009, DermAtlas
Image Name: Kawasaki_1_060619   File Type: jpg
Diagnosis: KAWASAKI SYNDROME (MUCOCUTANEOUS LYMPH NODE SYNDROME)   Category: reactive erythema /
cutaneous sign of systemic disease
Body Site: hand   Age: 4 years
Contributor: Sonbol Ameli, MD    
Description: symmetric discrete and confluent red to violaceous 0.5-2.0 cm plaques
Comments: This 4-year-old boy developed unilateral cervical lymphadenopathy, nonpurulent conjunctivitis, erythema and edema of the hands and feet, red dry fissured lips, and target lesions on the legs. He looked ill and had a fever for a week which was unresponsive to antipyretics. He improve dramatically with intravenous immunoglobulin. Incidentally he had a small copngenital pigmented nevus on the left knee.
Related Images: Kawasaki_2_060619 

DermAtlas: LIP - Kawasaki syndrome (mucocutaneous lymph node syndrome)
© 2001-2009, DermAtlas
Image Name: Kawasaki_2_060619   File Type: jpg
Diagnosis: KAWASAKI SYNDROME (MUCOCUTANEOUS LYMPH NODE SYNDROME)   Category: reactive erythema /
cutaneous sign of systemic disease
Body Site: lip   Age: 4 years
Contributor: Sonbol Ameli, MD    
Description: This 4-year-old boy developed unilateral cervical lymphadenopathy, nonpurulent conjunctivitis, erythema and edema of the hands and feet, red dry fissured lips, and target lesions on the legs. He looked ill and had a fever for a week which was unresponsive to antipyretics. He improve dramatically with intravenous immunoglobulin. Incidentally he had a small copngenital pigmented nevus on the left knee.
Comments: This 4-year-old boy developed unilateral cervical lymphadenopathy, nonpurulent conjunctivitis, erythema and edema of the hands and feet, red dry fissured lips, and target lesions on the legs. He looked ill and had a fever for a week which was unresponsive to antipyretics. He improve dramatically with intravenous immunoglobulin. Incidentally he had a small copngenital pigmented nevus on the left knee.
Related Images: All related Images  Kawasaki_2_060619  Kawasaki_1_060619 

DermAtlas: LEG - Kawasaki syndrome (mucocutaneous lymph node syndrome)
© 2001-2009, DermAtlas
Image Name: Kawasaki_2_060601   File Type: jpg
Diagnosis: KAWASAKI SYNDROME (MUCOCUTANEOUS LYMPH NODE SYNDROME)   Category: reactive erythema /
papulosquamous eruptions
Body Site: leg / foot
foot
  Age: 4 years
Contributor: Sonbol Ameli, MD    
Description: symmetric discrete and confluent red to violaceous 0.5-2.0 cm plaques
Comments: This 4-year-old boy developed unilateral cervical lymphadenopathy, nonpurulent conjunctivitis, erythema and edema of the hands and feet, red dry fissured lips, and target lesions on the legs. He looked ill and had a fever for a week which was unresponsive to antipyretics. He improve dramatically with intravenous immunoglobulin. Incidentally he had a small copngenital pigmented nevus on the left knee.
Related Images: Kawasaki_1_060601 

DermAtlas: LEG - Kawasaki syndrome (mucocutaneous lymph node syndrome)
© 2001-2009, DermAtlas
Image Name: Kawasaki_1_060601   File Type: jpg
Diagnosis: KAWASAKI SYNDROME (MUCOCUTANEOUS LYMPH NODE SYNDROME)   Category: reactive erythema /
papulosquamous eruptions
Body Site: leg / foot
ankle / foot
  Age: 4 years
Contributor: Sonbol Ameli, MD    
Description: symmetric discrete and confluent red to violaceous 0.5-2.0 cm plaques
Comments: This 4-year-old boy developed unilateral cervical lymphadenopathy, nonpurulent conjunctivitis, erythema and edema of the hands and feet, red dry fissured lips, and target lesions on the legs. He looked ill and had a fever for a week which was unresponsive to antipyretics. He improve dramatically with intravenous immunoglobulin. Incidentally he had a small copngenital pigmented nevus on the left knee.
Related Images: Kawasaki_2_060601 

DermAtlas: LIP - Kawasaki syndrome (mucocutaneous lymph node syndrome)
© 2001-2009, DermAtlas
Image Name: kawasaki_5_040112   File Type: jpg
Diagnosis: KAWASAKI SYNDROME (MUCOCUTANEOUS LYMPH NODE SYNDROME)   Category: reactive erythema /
papulosquamous eruptions
Body Site: lip / mouth
face / chest
  Age: 4 years
Contributor: Bernard Cohen, MD    
Description: diffuse red scarlatiniform eruption; red cracked fissured lips
Comments: This healthy 4-year-old girl developed high fever for 6 days, widespread scarlatiniform eruption, tender right anterior cervical adenopathy, conjunctival injection, red swollen hands and feet, strawberry tongue and a peeling scaly red diaper dermatitis. She began receiving intravenous immunoglobulin 4 hours before the images were taken, and her mother thought that her symptoms were already improving.
Related Images: All related Images  kawasaki_1_040112  kawasaki_2_040112  kawasaki_3_040112  kawasaki_4_040112 

DermAtlas: HAND - Kawasaki syndrome (mucocutaneous lymph node syndrome)
© 2001-2009, DermAtlas
Image Name: kawasaki_4_040112   File Type: jpg
Diagnosis: KAWASAKI SYNDROME (MUCOCUTANEOUS LYMPH NODE SYNDROME)   Category: reactive erythema /
papulosquamous eruptions
Body Site: hand / finger
palm
  Age: 4 years
Contributor: Bernard Cohen, MD    
Description: red swollen hand
Comments: This healthy 4-year-old girl developed high fever for 6 days, widespread scarlatiniform eruption, tender right anterior cervical adenopathy, conjunctival injection, red swollen hands and feet, strawberry tongue and a peeling scaly red diaper dermatitis. She began receiving intravenous immunoglobulin 4 hours before the images were taken, and her mother thought that her symptoms were already improving.
Related Images: All related Images  kawasaki_1_040112  kawasaki_2_040112  kawasaki_3_040112  kawasaki_5_040112 

DermAtlas: HAND - Kawasaki syndrome (mucocutaneous lymph node syndrome)
© 2001-2009, DermAtlas
Image Name: kawasaki_3_040112   File Type: jpg
Diagnosis: KAWASAKI SYNDROME (MUCOCUTANEOUS LYMPH NODE SYNDROME)   Category: reactive erythema /
papulosquamous eruptions
Body Site: hand / palate, hard
finger
  Age: 4 years
Contributor: Bernard Cohen, MD    
Description: red swollen hand with peeling finger tips
Comments: This healthy 4-year-old girl developed high fever for 6 days, widespread scarlatiniform eruption, tender right anterior cervical adenopathy, conjunctival injection, red swollen hands and feet, strawberry tongue and a peeling scaly red diaper dermatitis. She began receiving intravenous immunoglobulin 4 hours before the images were taken, and her mother thought that her symptoms were already improving.
Related Images: All related Images  kawasaki_1_040112  kawasaki_2_040112  kawasaki_4_040112  kawasaki_5_040112 

DermAtlas: GENITAL - Kawasaki syndrome (mucocutaneous lymph node syndrome)
© 2001-2009, DermAtlas
Image Name: kawasaki_2_040112   File Type: jpg
Diagnosis: KAWASAKI SYNDROME (MUCOCUTANEOUS LYMPH NODE SYNDROME)   Category: reactive erythema /
papulosquamous eruptions
Body Site: genital / vulva (labia)
diaper area
  Age: 4 years
Contributor: Bernard Cohen, MD    
Description: symmetric peeling skin with a red base
Comments: This healthy 4-year-old girl developed high fever for 6 days, widespread scarlatiniform eruption, tender right anterior cervical adenopathy, conjunctival injection, red swollen hands and feet, strawberry tongue and a peeling scaly red diaper dermatitis. She began receiving intravenous immunoglobulin 4 hours before the images were taken, and her mother thought that her symptoms were already improving.
Related Images: All related Images  kawasaki_1_040112  kawasaki_3_040112  kawasaki_4_040112  kawasaki_5_040112 

DermAtlas: BUTTOCK - Kawasaki syndrome (mucocutaneous lymph node syndrome)
© 2001-2009, DermAtlas
Image Name: kawasaki_1_040112   File Type: jpg
Diagnosis: KAWASAKI SYNDROME (MUCOCUTANEOUS LYMPH NODE SYNDROME)   Category: reactive erythema /
papulosquamous eruptions
Body Site: buttock / perianal
diaper area
  Age: 4 years
Contributor: Bernard Cohen, MD    
Description: symmetric peeling skin with a red base
Comments: This healthy 4-year-old girl developed high fever for 6 days, widespread scarlatiniform eruption, tender right anterior cervical adenopathy, conjunctival injection, red swollen hands and feet, strawberry tongue and a peeling scaly red diaper dermatitis. She began receiving intravenous immunoglobulin 4 hours before the images were taken, and her mother thought that her symptoms were already improving.
Related Images: All related Images  kawasaki_2_040112  kawasaki_3_040112  kawasaki_4_040112  kawasaki_5_040112 

DermAtlas: Histology - Kawasaki syndrome (mucocutaneous lymph node syndrome)
© 2001-2009, DermAtlas
Image Name: kawasaki_13_010520   File Type: jpg
Diagnosis: KAWASAKI SYNDROME (MUCOCUTANEOUS LYMPH NODE SYNDROME)   Category: reactive erythema /
demonstration
Body Site:   Age: 0
Contributor: Peter Rowe, MD    
Description: toxic granulations and vacuoles in neutrophils
Comments: Patients with Kawasaki syndrome have a marked leukocytosis and often an increase in toxic granulations and vacuoles in neutrophils as demonstrated in this smear from this acutely ill child with the disorder.

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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