Hair Loss as a Sign of Kawasaki Disease

Kawasaki disease is a multi system disorder with varying clinical expressions. this diseaseis an acute systemic vasculitis of unknown etiology that has recently recognized as a leadingcause of acquired heart disease in children of many developed countries. we describe anunusual instance of hair loss in a patient with kawasaki disease.a 26 months old boy developed prolonged high fever, bilateral conjunctival infection,arthralgia and erythromatosis skin rash. he was admitted to the hospital with the diagnosis ofkawasaki disease. laboratory results included an erythrocyte sedimentation rate (esr) above100 and platelet count(greater than) 1000,000. the patient developed acute and unprovoked scalp hairloss. he was treated with intravenous immunoglobulin (ivig) 2 g/kg and aspirin 100mg/kg/day with complete improvement of signs and symptoms.this report documents hair loss as an uncommon presentation of kawasaki disease.