ISCHEMIC-HEART-DISEASE 31 YEARS AFTER POSSIBLE KAWASAKI-DISEASE

We present a 38-year-old woman who had experienced an acute febrile il lness lasting more than 1 week at the age of 6, with erythema on the p alms and soles following skin desquamation in the subacute phase and s kin eruption. Thirty one years later, she experienced acute myocardial infarction and episodes of angina pectoris. She had no coronary risk factors or autoimmune diseases. Coronary angiography revealed an aneur ysm df the proximal left coronary artery with occluded lesions at the distal site. The right coronary artery was also occluded at the proxim al site. These findings strongly suggest Kawasaki disease should be co nsidered in the differential diagnosis of early-onset ischemic heart d isease in young adults.