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John S. Venglarcik III, MD; Mouhab Ayas, MD
Department of Pediatrics and Adolescent Medicine Tod Children's Hospital 500 Gypsy Ln Youngstown, OH 44501 Northeastern Ohio Universities College of Medicine 4209 State Route 44 Rootstown, OH 44272-0095

Tim Woods, MD
Youngstown

Arch Pediatr Adolesc Med. 1995;149(2):215-217.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Kawasaki disease (KD) is an acute febrile illness of childhood that is characterized by conjunctival hyperemia, inflammation of the oral mucosa, characteristic changes in the extremities, cutaneous manifestations, and cervical adenopathy. The disease is most commonly seen in children younger than 5 years of age and is distinctly uncommon after adolescence.¹

There is no diagnostic laboratory test for KD. However, elevated platelet counts are a consistent feature of this particular illness.² Thrombocytosis was believed to be so central to the diagnosis that the presence of thrombocytopenia suggested an alternate diagnosis.^3,4

Thrombocytopenia has been reported in KD.^5-10 Twelve patients^5-8 have had thrombocytopenia that was unassociated with idiopathic thrombocytopenic purpura. However, none of these individuals had a decrease in platelet count to a level that has been associated with spontaneous hemorrhage.¹¹ Additionally, the thrombocytopenia was not the presenting manifestation. Three patients have been described with KD . . . [Full Text PDF of this Article]

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