PMC4599061_01
Desquamation around the (A) lips, (B) fingers, and (C) feet, and (D) bilateral non-exudative conjunctival injection.. Note: At the time of admission to our hospital, physical examination showed desquamation around the lips, fingers, and feet, and his conjunctivae were markedly congested.
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Physical examination showed desquamation around the lips (Figure 1A), fingers (Figure 1B), and feet (Figure 1C). There was also brawny edema of the hands and feet and marked congestion of the conjunctivae (Figure 1D).
Clinical course.. Notes: On the day of admission to our hospital, he was treated with 30 mg/kg/day of oral aspirin. On day 4, the dose of aspirin was reduced to 5 mg/kg/day because of defervescence. After day 6 in our hospital, the myalgia, congested conjunctivae, erythema, and desquamations gradually resolved. By day 13, the erythema and desquamation were completely resolved. However, the treatment was switched from aspirin to 200 mg/day of cilostazol because of liver dysfunction as an adverse effect of aspirin.. Abbreviations: WBC, White blood cell count; Plt, Platelet; ALT, Alanine aminotransferase.
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However, the treatment was switched from aspirin to 200 mg/day of cilostazol because the alanine aminotransferase levels increased to 150 U/L (Figure 2).
Coronary computed tomography.. Note: The coronary computed tomography that was performed 2 months after the onset of the disease revealed no coronary aneurysms.. Abbreviations: LCX, left circumflex artery; LAD, left anterior descending coronary artery; RCA, right coronary artery.
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At follow-up, coronary computed tomography performed 2 months after the onset of the disease revealed no coronary aneurysms (Figure 3).