title: Hair loss as a sign of Kawasaki disease.
abstract: Kawasaki disease is a multi system disorder with varying clinical expressions. This disease is an acute systemic vasculitis of unknown etiology that has recently recognized as a leading cause of acquired heart disease in children of many developed countries. We describe an unusual instance of hair loss in a patient with Kawasaki disease. A 26 months old boy developed prolonged high fever, bilateral conjunctival infection, arthralgia and erythromatosis skin rash. He was admitted to the hospital with the diagnosis of Kawasaki disease. Laboratory results included an erythrocyte sedimentation rate (ESR) above 100 and platelet count > 1000,000. The patient developed acute and unprovoked scalp hair loss. He was treated with intravenous immunoglobulin (IVIG) 2 g/kg and aspirin 100 mg/kg/day with complete improvement of signs and symptoms. This report documents hair loss as an uncommon presentation of Kawasaki disease.
authors.affiliation: Department of Allergy and Immunology, Pediatric Ward-Namazee Hospital, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. drhesamnabavi@yahoo.com
authors.forename: Sayyed Hesamedin
authors.initials: SH
authors.lastname: Nabavizadeh
authors.forename: Mojgan
authors.initials: M
authors.lastname: Safari
authors.forename: Reza
authors.initials: R
authors.lastname: Amin
mesh_terms: D001241:Aspirin / Q000627:therapeutic use; D002675:Child, Preschool; D006201:Hair Diseases / Q000209:etiology*; D018859:Hair Follicle / Q000503:physiopathology; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000188:drug therapy
chemical_list: D016756:Immunoglobulins, Intravenous; D001241:Aspirin