title: Prolonged urticaria and fever in a toddler.
abstract: We describe a 14-month-old girl who initially presented with 8 days of fever, conjunctival injection, rash, and irritability, admitted with a presumptive diagnosis of Kawasaki disease. Further history revealed intermittent urticarial-like rash since 3 months of age and pathological evaluation showed a perivascular infiltrate of neutrophils and lymphocytes. Here, we discuss the key points surrounding her diagnostic workup and our therapeutic approach.
authors.affiliation: Department od Medicine, University of California-San Diego, USA. lbroderick@ucsd.edu
authors.forename: Lori
authors.initials: L
authors.lastname: Broderick
authors.forename: Adriana H
authors.initials: AH
authors.lastname: Tremoulet
authors.forename: Jane C
authors.initials: JC
authors.lastname: Burns
authors.forename: Hal M
authors.initials: HM
authors.lastname: Hoffman
mesh_terms: D018501:Antirheumatic Agents / Q000627:therapeutic use; D005260:Female; D005334:Fever / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007223:Infant; D053590:Interleukin 1 Receptor Antagonist Protein / Q000627:therapeutic use; D016896:Treatment Outcome; D014581:Urticaria / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D018501:Antirheumatic Agents; D053590:Interleukin 1 Receptor Antagonist Protein