title: [Necrotic lesions of the face in Kawasaki disease].
abstract: Kawasaki disease (KD) is a multisystemic vasculitis disorder in children. The dermatological manifestations are described as polymorphic and nonspecific. However, they are important for diagnosis. They correspond to 3 out of the 5 major criteria that may be associated with the disease's constant fever. We report the case of a child aged 3 years 8 months who showed necrotic lesions on the cheeks and the nose, associated with an erythematous, macular eruption on the rest of the body. Necrotic lesions have been exceptionally reported. These misleading cutaneous aspects should not delay or rule out the diagnosis of KD, especially in atypical or incomplete forms. Early diagnosis of KD should be made before the onset of coronary lesions.
authors.affiliation: Hôpital Razi, Tunis, Tunisie. Kourda_mouna@yahoo.fr
authors.forename: M
authors.initials: M
authors.lastname: Kourda
authors.forename: A
authors.initials: A
authors.lastname: Bouaziz
authors.forename: M N
authors.initials: MN
authors.lastname: Tougourti
mesh_terms: D002610:Cheek / Q000473:pathology; D002675:Child, Preschool; D042241:Early Diagnosis; D005076:Exanthema / Q000209:etiology*; D005145:Face / Q000473:pathology; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000008:administration & dosage; D007155:Immunologic Factors / Q000008:administration & dosage; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D009336:Necrosis / Q000209:etiology*; D009666:Nose / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D016756:Immunoglobulins, Intravenous; D007155:Immunologic Factors