RT Journal Article SR Electronic T1 Kawasaki disease, or mucocutaneous lymph node syndrome: report of seven cases in North America JF Canadian Medical Association Journal JO CMAJ FD Canadian Medical Association SP 1013 OP 1018 VO 122 IS 9 A1 O. H. Teixeira A1 L. Martin A1 B. F. Carpenter A1 F. J. Sellers YR 1980 UL http://www.cmaj.ca/content/122/9/1013.abstract AB The clinical and laboratory findings in seven children with Kawasaki disease are reviewed. Four of the patients had the more complicated course that has characterized the cases diagnosed in North America. This suggests that the benign forms are often mistaken for other febrile illnesses. The patients were two girls and five boys ranging in age from 4 months to 7 years; six were Caucasian and one was a North American Indian. Fever, redness of the oral mucosa, an erythematous or scarlatiniform rash and cervical adenopathy were seen in all; six patients had the characteristic fingertip desquamation and nonexudative conjunctivitis. Cardiac involvement occurred in four patients, two of whom had coronary artery aneurysm or thrombosis. Arthritis or arthralgia was seen in six patients, and aseptic meningitis occurred in four. Of the three patients with jaundice two underwent laparotomy and excision of a hydropic gallbladder; one of them died from Klebsiella pneumoniae sepsis and disseminated intravascular coagulopathy.