Pustulovesicular Skin Eruption as Presenting Feature of Incomplete Kawasaki Disease.

Abstract

Dear Sir, A 12-year-old female was referred with a history of fever and abdominal pain for 10 days and swelling all over her body for 4 days. Swelling developed initially over her left leg and arm followed by the right extremities, later involving the entire body. She also gave a history of passage of red-colored urine for 1 day. On general physical examination, she was febrile (temperature −102°F) with mild pallor and erythema over the lips. Her blood pressure was normal and there was no lymphadenopathy. On abdominal examination, mild ascites and tenderness were present. She had pustulovesicular lesions all over the right forearm [Figure 1] and right knee joint along with erythematous skin rash over her buttock and back. The rest of her systemic examination was normal. Investigations are tabulated in Table 1.