Kawasaki disease and perineal rash

A. H. Urbach, R. S. McGregor, J. J. Malatack, J. C. Gartner Jr and B. J. Zitelli
Department of Pediatrics, University of Pittsburgh Health Science Center, PA.

During the past several years, we treated seven children with Kawasaki disease who developed a distinctive but rarely described perineal rash. This rash began three to four days from onset of the illness and desquamated in all instances by days 5 to 7. The presence of this rash may facilitate early diagnosis of Kawasaki disease and, hence, may influence the initiation of early treatment.