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Kawasaki syndrome in office pediatrics.

DRAMATIC MULTISYSTEM clinical features, involvement of the coronary arteries and absence of a known cause have stimulated considerable interest in Kawasaki synidrome among pediatricians during the past decade. It is a disease almost exclusively limited to children younger than 8 years and is associated with a case fatality of 1% to 2% due to coronary thrombosis or ruptured aneurysm.' A review of published descriptions and case reports suggests that children with Kawasaki syndrome are either critically ill or appear to be in a severely toxic state and that all require admission to hospital.2-5 This impression was challenged when two children with the syndrome were seen by one pediatrician in the first year of a new general practice. Both children were managed without hospital stay.