Some years ago, I was confronted with a four-year-old girl as a patient. She had experienced repeated unexplained fever accompanied by a cough, sore throat, diarrhea, and croup. When she came to my attention she had an unusually severe episode of fever with an itchy rash, pain behind the knees and elbows, loss of appetite and abdominal pain. Her respirations were accelerated and the palms and soles were reddened and swollen. Her heart rate was 160 bpm and the blood pressure was 140/80, an extremely high blood pressure for a four-year old child. The laboratory changes were those that are … Continue reading Kawasaki Disease