An atypical presentation of Kawasaki disease with thrombocytosis at the onset of the illness

Kawasaki disease (KD) is a systemic acute vasculitis, characterized by fever, bilateral non-exudative conjunctivitis, redness of the tongue, lips and oral mucosa, changes in the extremities, cervical lymph node, and polymorphic exanthema. Administration of IVIG within the first 10days after onset of fever in combination with high dose aspirin reduces the risk of coronary artery damage in KD. There is currently no laboratory test for diagnosing KD. Rather, diagnosis is performed with reference to established clinical criteria. Unfortunately, atypical manifestations of KD appear to be on the rise decreasing the likelihood of timely diagnosis and appropriate treatment. Herein, we report an unusual case of KD: a 6-year-old boy presented with fever with desquamation of the fingers and thrombocytosis.