TLDR Kawasaki's disease can occur in adults and should be considered with specific symptoms and high ferritin levels.
A 26-year-old man was diagnosed with adult Kawasaki's disease, presenting with myocarditis, splenomegaly, and highly elevated serum ferritin levels (944-1303 ng/mL). Despite initial treatment with doxycycline, his condition worsened, requiring hospitalization and treatment with intravenous immunoglobulin and acetylsalicylic acid, which improved his symptoms. The case was notable for being the first reported instance of adult Kawasaki's disease with such high ferritin levels and splenomegaly. The study concluded that Kawasaki's disease should be considered in adults with specific symptoms and laboratory findings to allow for rapid differentiation from other conditions and appropriate treatment to prevent long-term complications.
86 citations,
May 2005 in “Seminars in Arthritis and Rheumatism” Kawasaki Disease is rare and often missed in adults, who show different symptoms than children, and may benefit from early treatment.
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May 2005 in “Seminars in Arthritis and Rheumatism” Kawasaki Disease is rare and often missed in adults, who show different symptoms than children, and may benefit from early treatment.
17 citations,
January 2001 in “Clinical and Experimental Dermatology” Early treatment with immunoglobulin and aspirin reduces heart complications in children with Kawasaki disease.
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March 1986 in “Clinical Cardiology” An adult with Kawasaki disease experienced temporary heart failure but recovered without lasting heart damage.
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