Acrodermatitis-Like Rash in Kawasaki Disease

A 2-year-old girl presented with fever for 6 days associated with a rash over her gluteal region and face, left side of her neck swelling, and redness of her eyes. She also had red lips and red tongue on day 2 of the fever. She had been treated with intravenous antimicrobials (ceftriaxone and amikacin). On examination, she was lethargic and had pallor, left cervical lymphadenopathy (1.5 cm), conjunctival injection, and cracked lips. She also had an erythematous scaly acrodermatitis like rash over her gluteal region, perioral, and periorbital area, tip of her nose, and over both pinna (Figure, A and B).

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