Fever is not always present in Kawasaki disease

  title={Fever is not always present in Kawasaki disease},
  author={Ana Luisa Rodr{\'i}guez-Lozano and Francisco Rivas-Larrauri and Victor Hern{\'a}ndez-Bautista and Marco Antonio Yamazaki-Nakashimada},
  journal={Rheumatology International},
We read with great interest a recent letter by Kato et al. [1] reporting coronary arterial ectasia in a 2-year-old boy showing two symptoms of Kawasaki disease without manifesting fever. Since the description of the disease by Tomisaku Kawasaki in 1967, the diagnosis of Kawasaki disease still relies mainly in the clinical criteria. Guidelines for the diagnosis of KD have not changed since they were proposed. Over the years, the spectrum of signs and symptoms of KD have expanded, from patients… 
Kawasaki disease without fever in a Costa Rican girl, first report from Central America
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Although rare, Kawasaki disease can occasionally present without fever and Appropriate diagnosis and timely treatment are important to avoid complications in what could be considered a mild form of the disease.
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Challenges that pediatricians have to face while managing KD in resource constrained settings are discussed, including IVIg is an expensive product and poses several difficulties for patients in developing countries who may find it difficult to access therapy even if a diagnosis of KD has been made in time.
Diagnosis of incomplete Kawasaki disease
  • J. Yu
  • Medicine
    Korean journal of pediatrics
  • 2012
Several authors suggested that the clinical characteristics of incomplete presentation of Kawasaki disease are similar to those of complete presentation and that the 2 forms of presentation are not
Enfermedad de Kawasaki, ¿una enfermedad exótica y rara?
This work presents the experience in a third level institution and recent advances in Kawasaki disease, a vasculitic disease present in children, particularly those less than 5 years old in Mexico.
[Kawasaki disease without fever?].
La enfermedad de Kawasaki (EK) es una vasculitis aguda de pequeños y medianos vasos propia de lactantes y niños pequeño, pudiendo conducir a un infarto de miocardio.
Afebrile Kawasaki Disease Presenting as Intestinal Pseudo-Obstruction
Afebrile Kawasaki Disease Presenting as Intestinal Pseudo-Obstruction is shown to be a major cause of diarrhoea and vomiting in children aged six months to eight years.
Enfermedad de Kawasaki
La enfermedad de Kawasaki es una vasculitis sistemica aguda que afecta con preferencia al lactante y al nino de corta edad; supone un riesgo secundario de aneurisma coronario. Concierne al lactante y


Coronary arterial ectasia in a 2-year-old boy showing two symptoms of Kawasaki disease without manifesting fever
A patient presented with two symptoms of Kawasaki disease and persistently elevated CRP without manifesting fever during the entire clinical course, and developed coronary arterial ectasia, which prompted discontinuation of aspirin administration.
Atypical and incomplete Kawasaki disease.
Renal, gastrointestinal, neurologic, pulmonary and ocular involvements have all been described and approaches to treatment and follow-up of KD are changing in parallel with changes in concepts of what constitutes classical and incomplete KD.
Kawasaki disease without fever.
The case of a 3-month-old boy who developed characteristic manifestations of KD and coronary aneurysms in the absence of fever underlines the difficulty to diagnose KD in young infants.
Recurrent toxin-mediated perineal erythema: eleven pediatric cases.
Recurrent toxin-mediated perineal erythema can be observed not only in young adults but also in childhood.
Enfermedad de Kawasaki. ¿La fiebre debe ser un criterio obligatorio?
Se menciona the similitud entre el eritema perineal recurrente mediado por toxinas, propuesto como una de forma leve de the enfermedad de Kawasaki.
Enfermedad de Kawasaki
La enfermedad de Kawasaki (EK) ha sido objeto de interes epidemiologico, clinico y de laboratorio desde su descripcion original en 1967. No se ha podido identificar su causa, y las principales
Recurrent toxin-mediated perineal erythema. Arch Dermatol 144:239–243 Table 1 Main features of patients with Kawasaki disease without fever
  • Rheumatol Int
  • 2008