To the Editor.—
The recent report of mucocutaneous lymph node syndrome (Kawasaki disease) in adults by E. Dale Everett, MD (242:542, 1979), prompted the retrospective identification of a recent, previously undiagnosed case in a 22-year-old woman.
Report of a Case.—
Previously healthy, the patient woke with a fever and vomited. Malaise, chills, and a temperature of from 38 to 40 °C continued for 36 hours, when a sore throat and a generalized nonitching rash developed on the limbs and trunk. On examination the woman appeared ill; she was slightly drowsy, with a temperature of 40 °C and large submandibular lymph nodes, diffuse edema of the uvula, and erythema of the pharynx without exudate. The lips were red and chapped. There was an extensive scarlatiniform rash on the abdomen and limbs without marked accentuation in the flexures. The spleen was not enlarged; no other lymph nodes were felt, and the neck