INCIDENCE AND CLINICAL-FEATURES OF INCOMPLETE KAWASAKI-DISEASE

During the nine-year period from 1983 to 1991, a total of 242 patients (142 males and 100 females) presenting with Kawasaki disease were see n at one hospital. Among them, 25 (10%) patients demonstrated incomple te Kawasaki disease and 17 of these 25 (68%) lacked two of the six pri ncipal symptoms of Kawasaki disease, with the most frequently missing symptoms being cervical lymphadenopathy and polymorphous exanthema. Th e typical laboratory features of Kawasaki disease, such as elevated er ythrocyte sedimentation rate, leukocytosis, anemia, positive C-reactiv e protein and thrombocytosis were also seen in the incomplete cases. N one of the 25 patients underwent iv gamma-globulin therapy while in 1 (4%), transient dilatation of the coronary artery was recognized. Inco mplete Kawasaki disease may therefore be characterized by a less frequ ent association of rash, cervical lymphadenopathy and coronary involve ment.