Abstract
In 1967, Kawasaki reported an acute, febrile, mucocutaneous condition accompanied by swelling of cervical lymph nodes that afflicted infants and young children in Japan. The entity was called mucocutaneous lymph node syndrome. In 1974, the condition was reported in Hawaii, and several cases were reported subsequently in the continental US and other countries. Of the patients, 1-2% died suddenly of cardiac failure. Rickettsia-like bodies were demonstrated from skin and lymph node biopsy specimens, and the pathologic features suggest a relationship to infantile periarteritis nodosa.

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