A case of guttate psoriasis with Kawasaki disease

Akiyo Sano, Hirotaka Akita, Yoshinori Shimizu, Kayoko Matsunaga, Kayoko Suzuki, Tetsushi Yoshikawa

Research output: Contribution to journalArticle

Abstract

A 2-year-old girl presented to our hospital with a high fever (39°C), an atypical rash, and cervical lymphadenopathy. She also had congestion and redness of the lips and was diagnosed as having Kawasaki disease. She was treated with aspirin (30 mg/kg/day) and γ-globulin (2 g/kg/day). Five days later, her fever resolved. When she visited us, hyperkeratotic papules were observed on her extremities, particularly around the knees. A skin biopsy specimen showed elongated rete ridges, vascular dilation, and edema in the papillary dermis. We diagnosed her skin eruption as guttate psoriasis. She was treated with mild topical steroids, and her skin condition was improved 2 months after the first visit. It has been suggested that super antigen is involved in the pathogenesis of guttate psoriasis, as well as Kawasaki disease. It is interesting that these diseases were both observed in this case.

Original languageEnglish
Pages (from-to)50-54
Number of pages5
JournalSkin Research
Volume10
Issue number1
Publication statusPublished - 01-02-2011

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Mucocutaneous Lymph Node Syndrome
Psoriasis
Skin
Fever
Globulins
Dermis
Lip
Exanthema
Aspirin
Blood Vessels
Dilatation
Edema
Knee
Extremities
Steroids
Biopsy
Antigens

All Science Journal Classification (ASJC) codes

  • Dermatology
  • Infectious Diseases

Cite this

Sano, A., Akita, H., Shimizu, Y., Matsunaga, K., Suzuki, K., & Yoshikawa, T. (2011). A case of guttate psoriasis with Kawasaki disease. Skin Research, 10(1), 50-54.
Sano, Akiyo ; Akita, Hirotaka ; Shimizu, Yoshinori ; Matsunaga, Kayoko ; Suzuki, Kayoko ; Yoshikawa, Tetsushi. / A case of guttate psoriasis with Kawasaki disease. In: Skin Research. 2011 ; Vol. 10, No. 1. pp. 50-54.
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Sano, A, Akita, H, Shimizu, Y, Matsunaga, K, Suzuki, K & Yoshikawa, T 2011, 'A case of guttate psoriasis with Kawasaki disease', Skin Research, vol. 10, no. 1, pp. 50-54.

A case of guttate psoriasis with Kawasaki disease. / Sano, Akiyo; Akita, Hirotaka; Shimizu, Yoshinori; Matsunaga, Kayoko; Suzuki, Kayoko; Yoshikawa, Tetsushi.

In: Skin Research, Vol. 10, No. 1, 01.02.2011, p. 50-54.

Research output: Contribution to journalArticle

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Sano A, Akita H, Shimizu Y, Matsunaga K, Suzuki K, Yoshikawa T. A case of guttate psoriasis with Kawasaki disease. Skin Research. 2011 Feb 1;10(1):50-54.