Arch Dis Child 2000;83:353-355
( October )
Article
Recurrent skin peeling following Kawasaki disease
Colin Michiea, Veronica Kinslera, Robert Tullohb, Sue Davidsonc
a Department of
Paediatrics, Ealing Hospital NHS Trust, Uxbridge Road, London UB1
3HW, UK, b Department of Paediatric Cardiology, Guy's and
St Thomas's Hospital Trust, St Thomas' St, London SE1 9RT, UK, c Kawasaki Support Group, 13 Norwood Grove, Potters Green, Coventry CV2 2FR, UK
Correspondence to: Dr Michie
email:
colinm{at}easynet.co.uk
Accepted 15 June 2000
Long term follow up of 259 cases of Kawasaki disease led to the
observation that 11% of children have episodes of recurrent peeling of
the skin for several years after their recovery. These events were
usually associated with an upper respiratory tract infection and were
distinct from a recurrence of Kawasaki disease. Repeeling was
significantly less frequent in children who had suffered coronary
artery dilatation and was more frequently seen in those with nasal
staphylococcal colonisation. The mechanism for this phenomenon is
unclear, but it has been observed in a number of other conditions
caused by infectious agents and their toxins. Paediatricians need to be
aware of this phenomenon which is distinct from recurrence of Kawasaki disease.
Keywords:
Kawasaki disease;
skin peeling;
keratolysis;
long
term follow up;
Kawasaki disease sequelae
© 2000 by Archives of Disease in Childhood
