Anterior uveitis as the initial sign of adult Kawasaki syndrome (mucocutaneous lymph node syndrome)

PURPOSE: To report anterior uveitis as the initial sign of adult Kawasaki s yndrome (mucocutaneous lymph node syndrome). METHODS: Case report. RESULTS: Kawasaki syndrome was diagnosed in an 18-year-old woman with reduc tion of vision caused by anterior uveitis, fever, erythemateous cutaneous r ash, conjunctival injection, and cervical lymph adenopathy, after medical e xamination including serologic tests. Aspirin and intravenous immunoglobuli n were given, resulting in improvement of the condition. CONCLUSION: Slit-lamp examination should be useful in the evaluation of pat ients with suspected Kawasaki syndrome, differentiating this condition from streptococcal and staphylococcal toxin-mediated diseases, viral infections , and drug reactions, not commonly associated with anterior uveitis. (Am J Ophthalmol 2000;129:101-102. (C) 2000 by Elsevier Science Inc. All rights r eserved.)