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On week 2 after onset of symptoms, the patient developed desquamation of the extremities and thrombocytosis. Echocardiography was normal during the acute illness and remained unchanged at 2-year follow-up. Clinicians should be aware that, in adolescents, KD poses a diagnostic challenge and rarely corresponds to the classic presentation. On retrospective analysis, we believe that abdominal lymphadenopathy should have been recognized as a substitute manifestation of the classic symptom of cervical lymphadenopathy to establish the diagnosis of this fearsome systemic vasculitis syndrome.<\/jats:p>","DOI":"10.1515\/ijamh-2016-0028","type":"journal-article","created":{"date-parts":[[2016,7,22]],"date-time":"2016-07-22T06:04:54Z","timestamp":1469167494000},"source":"Crossref","is-referenced-by-count":1,"title":["Abdominal lymphadenopathy in an adolescent with Kawasaki disease: a major sign?"],"prefix":"10.1515","volume":"29","author":[{"given":"Danielle","family":"Bulkool","sequence":"first","affiliation":[{"name":"Maternal and Child Department , Federal Fluminense University , School of Medicine , Niter\u00f3i-RJ , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Vidal","family":"de Carvalho","sequence":"additional","affiliation":[{"name":"Department of Radiology , Antonio Pedro University Hospital , Niter\u00f3i-RJ , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aurea","family":"Grippa","sequence":"additional","affiliation":[{"name":"Maternal and Child Department , Federal Fluminense University , School of Medicine , Niter\u00f3i-RJ , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcia","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Maternal and Child Department , Federal Fluminense University , School of Medicine , Niter\u00f3i-RJ , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2054-0739","authenticated-orcid":false,"suffix":"Jr","given":"Israel","family":"Figueiredo","sequence":"additional","affiliation":[{"name":"Maternal and Child Department , Federal Fluminense University , School of Medicine , Niter\u00f3i-RJ , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2016,7,21]]},"reference":[{"key":"2025112800283423967_j_ijamh-2016-0028_ref_001_w2aab3b7c53b1b6b1ab2ab1Aa","doi-asserted-by":"crossref","unstructured":"Wei CC, Lin CL, Kao CH, Liao YH, Shen TC, et al. 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