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Kawasaki disease (KD) is an acute, multiorgan vasculitis of small and medium-sized arteries. Eighty percent of patients are younger than 5 years, with a peak incidence at 13 to 24 months, although it can occur in infants younger than 6 months. The etiology of KD is unknown, although it occurs most commonly in the winter and spring.

The most significant complication of KD is vasculitis of the coronary arteries, leading to coronary artery aneurysm (CAA) formation. This occurs in about 20% of untreated patients but is seen in just 4% if they are treated appropriately with intravenous immunoglobulin (IVIG) in...

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