Polymorphous skin rashes are one of the major presentations in children with Kawasaki disease. This report describes an unusual presentation of a skin rash (non-Langerhans cell histiocytosis) in a 4-month-old baby with resistance to intravenous immunoglobulin (IVIG) treatment and coronary artery dilatation. Though refractory to repeat dosages of IVIG treatment, the patient had a favourable response to methylprednisolone pulse therapy.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3028005PMC
http://dx.doi.org/10.1136/bcr.11.2008.1227DOI Listing

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