Acute Kawasaki Disease: Not Just for Kids

Kawasaki Disease is a small-to-medium-vessel vasculi-tis that preferentially affects children. Kawasaki Dis-ease can occur in adults, but the presentation may differ from that observed in children. Typical findings in both adults and children include fever, conjunctivitis, pharyngitis, and skin erythema progressing to a des-quamating rash on the palms and soles. Adults more frequently present with cervical adenopathy (93 % of adults vs. 15 % of children), hepatitis (65 % vs. 10%), and arthralgia (61 % vs. 24–38%). In contrast, adults are less frequently affected by meningitis (10 % vs. 34%), thrombocytosis (55 % vs. 100%), and coronary artery aneurysms (5 % vs. 18–25%). We report a case of acute Kawasaki Disease in a 24-year-old man who presented with rash, fever, and arthritis. He was successfully treated with high-dose aspirin and intravenous immu-noglobulin (IVIG). Our case highlights the importance of considering Kawasaki Disease in adults presenting with symptoms commonly encountered in a general medical practice