Korean J Dermatol.  2013 Aug;51(8):631-634.

A Case of Incomplete Kawasaki Disease: BCG Site Change as a Diagnostic Clue

Affiliations
  • 1Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea. drkmp@hanmail.net
  • 2Bio-medical Research Institute, Pusan National University Hospital, Busan, Korea.
  • 3Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.

Abstract

Kawasaki disease (KD) is an acute, systemic vasculitis of unknown etiology that occurs predominantly in infants and young children. The diagnosis of KD is based on the presence of fever lasting longer than 5 days and at least other four of the five clinical criteria. Patients with incomplete presentations of KD have a higher complication rate which is likely related with delayed diagnosis and treatment. We report the first Korean case of incomplete KD in which cutaneous change on a previous BCG vaccination site play an important role as a diagnostic clue.

Keyword

BCG (bacilli Calmeette-Guerin); Incomplete type; Kawasaki disease

MeSH Terms

Child
Delayed Diagnosis
Fever
Humans
Infant
Mucocutaneous Lymph Node Syndrome
Mycobacterium bovis
Systemic Vasculitis
Vaccination
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