CONTRIBUTION OF DERMATOLOGY TO THE DIAGNOSIS OF ATYPICAL-KAWASAKI-SYNDROME

Diagnosing of Kawasaki syndrome may be difficult because of an atypica l or incomplete presentation. The chronology and progression of the le sion must be perfectly analysed to allow for an accurate and early dia gnosis: progression of conjunctivitis (2nd day), orolingual lesions (3 rd to 5th day), early involvement of extremities, and late polymorphou s rash. Analysis of cutaneous semiology is of the utmost interest to d iscriminate between KS and other diagnostics; conjunctivitis without w atering and presence of latent uveitis, edematous cheilitis, early ede ma of hands, rash of perineal area with early scaling, late finger tip scaling are major symptoms. Although an incomplete presentation with highly suggestive symptoms deserves an early management, the question which remains is whether the prognosis for incomplete form is the same as for typical inflammatory Kawasaki syndrome.