Recurrent Kawasaki disease-like syndrome in a patient with acquired immunodeficiency syndrome.

Blanchard, Jennifer N; Powell, Henry C; Freeman, William R; Letendre, Scott; Blanchard, Daniel; Shimizu, Chisato; Burns, Jane C · Clin Infect Dis · 2003

case_report · Level V

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Abstract

A review of Kawasaki disease (KD)-like syndromes (KDLS) in patients with human immunodeficiency virus (HIV) raised the question whether vasculitis in children and KDLS in immunocompromised adults might be etiologically related. We describe a 42-year-old white man with AIDS and Kaposi sarcoma who presented with KDLS, which was diagnosed on the basis of clinical criteria for KD. Analysis of a conjunctival tissue sample revealed endothelial cell damage with fibrin deposition and infiltration of immunoglobulin A-secreting plasma cells.

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