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We report a case of a child with a persistent rash and unremitting fever consistent with the diagnosis of KD, who was found to have HLH, after intravenous gamma globulin failed to produce a clinical response. The diagnosis was made using the revised diagnostic criteria for HLH from the Histiocyte Society (1994). She fulfilled six of the eight clinical and laboratory criteria needed to make the diagnosis. Pediatr Blood Cancer 2010;54:1023\u20131025 \u00a9 2010 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/pbc.22422","type":"journal-article","created":{"date-parts":[[2010,2,4]],"date-time":"2010-02-04T21:18:48Z","timestamp":1265318328000},"page":"1023-1025","source":"Crossref","is-referenced-by-count":17,"title":["Kawasaki disease preceding haemophagocytic lymphohistiocytosis: Challenges for developing world practitioners"],"prefix":"10.1002","volume":"54","author":[{"given":"Marc","family":"Hendricks","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shakti","family":"Pillay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Davidson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rik","family":"De Decker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Lawrenson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,2,4]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/088800100276316"},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.1272\/jnms.76.124"},{"key":"e_1_2_4_4_2","first-page":"3093","article-title":"Kawasaki disease","volume":"59","author":"Taubert K","year":"1999","journal-title":"Am Acad Fam Physicians"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02074830"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.22098"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.inf.0000073061.55674.1b"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2005.12.070"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.6.e495"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e31817ecb6d"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004310050893"},{"key":"e_1_2_4_12_2","first-page":"637","article-title":"Kawasaki's disease: A case report from Madagascar","volume":"68","author":"Rakotovao DN","year":"2008","journal-title":"Med Trop"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1086\/345903"},{"key":"e_1_2_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.blre.2007.05.001"},{"key":"e_1_2_4_15_2","volume-title":"Haemophagocytic lymphohistiocytosis and macrophage activation syndrome. 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