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An Atypical Presentation of Atypical Kawasaki Disease

Anderson, Brit L. MD*; Guiot, Amy B. MD; Timm, Nathan L. MD*

doi: 10.1097/PEC.0000000000000169
Illustrative Cases

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:

© 2014 Lippincott Williams & Wilkins, Inc.