Kawasaki Disease Triggering an Episode of Psoriasis – a Case Report

Introduction

Kawasaki disease (KD) is an acute systemic inflammatory illness causing vasculitis. A diffuse polymorphous rash is one of the predominant features of patients presenting with KD. This rash can have a morbilliform, urticarial, micropustular, or further unspecific morphology. Psoriasis-like eruptions following KD were first described by Han et al. 2000 (Han M H et al., Br J Dermatol 2000; 142: 548–550), thereafter several case reports – describing over 30 children worldwide – have been published. It usually consists of a single episode with enduring remission, contrasting typical psoriasis. Furthermore, the eruptions can have an atypical presentation with less involvement of the anogenital area and more serous crusting (Haddock E S et al., J Am Acad Dermatol 2016; 75: 69–76), (Eberhard B A et al., J Pediatr 2000; 137, 4: 578–580). It is a well-known entity amongst dermatologists. However, acknowledgement by the paediatric community is limited. This is also reflected by the fact that 11 publications can be found in a dermatological journal versus 4 publications in a paediatric journal.

Publication History

Article published online:
10 August 2022