An Atypical Presentation of Atypical Kawasaki DiseaseAnderson, Brit L. MD*; Guiot, Amy B. MD†; Timm, Nathan L. MD*Pediatric Emergency Care: July 2014 - Volume 30 - Issue 7 - p 491–492 doi: 10.1097/PEC.0000000000000169 Illustrative Cases Abstract Author Information Kawasaki disease (KD) is a well-known inflammatory disorder that, despite its classic description, can pose a diagnostic challenge. We report a case of a 3-year-old girl who presented to the emergency department with a limp and urinary incontinence who was ultimately diagnosed with KD. She was found to have a large coronary artery aneurysm on echocardiogram. We discuss the challenges in diagnosing incomplete KD. From the *Division of Emergency Medicine and †Department of Hospital Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH. Disclosure: The authors declare no conflict of interest. Reprints: Brit L. Anderson, MD, Division of Emergency Medicine, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave, MLC 2008, Cincinnati, OH 45229 (e-mail: Brit.Anderson@cchmc.org). © 2014 Lippincott Williams & Wilkins, Inc.