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Orange-brown chromonychia in Kawasaki disease
  1. Rebecca James1,
  2. David Burgner2,3,4
  1. 1Department of Rheumatology, Royal Children's Hospital, Melbourne, Victoria, Australia
  2. 2Murdoch Childrens Research Institute, Parkville, Victoria, Australia
  3. 3Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia
  4. 4Department of Paediatrics, Monash University, Clayton, Victoria, Australia
  1. Correspondence to Dr Rebecca James, Department of Rheumatology, Royal Children's Hospital, Melbourne, VIC 3052, Australia; bec.james{at}

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A 4-year-old Australian-born girl of Taiwanese background presented with 5 days of fever and rash. She had previously had Kawasaki disease at the age of 22 months from which she made a full recovery. Examination at this presentation revealed mucosal injection, strawberry tongue, widespread blanching maculopapular rash, palmar erythema and conjunctival injection. Recurrent Kawasaki disease was diagnosed. She was treated …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.