PMC6421722_01
A 20-month-old boy with Kawasaki disease presenting with red cracked lips and an erythematous maculopapular rash on the anterior chest and upper arms.
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The child was noted to have bilateral nonpurulent bulbar conjunctival injection; fissured red lips (Figure 1); strawberry tongue diffuse erythema of the oropharyngeal mucosa; a generalized blanching polymorphous maculopapular rash over his face, trunk (Figure 1), and groin; erythema and firm edema of the dorsa of the hands and feet with sharp demarcation at the ankles and wrists and two enlarged firm tender lymph nodes each measuring 2 x 3 cm in the right cervical area.
Onychomadesis noted at 2-month follow-up. The toenails on both feet were partially shed.
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At 2-month follow-up, the child's fingernails and toenails were found to be partially shed on both hands and feet, with the proximal nail beds covered by new nail (Figure 2).