Corresponding Author:
Abhigan Babu Shrestha MBBS
Department of Medicine, M Abdur Rahim Medical College, Dinajpur,
Bangladesh
Email Id: abigan17@gmail.com
Informed Consent: Written informed consent was obtained rom the
patient to publish this report in accordance with the journal patient
consent policy
Abstract :
We present a case of a 47-year-old female with a history of diagnosed KD
and autoimmune hepatitis 13 years ago who presented with recurrent
fevers and a desquamative rash on the lower extremities. CT neck showed
enlarged lymph nodes, and with her daily fevers and skin rashes the
presentation was concerning for recurrence of her KD. Patient was also
found to have an elevated ASMA titer, and subsequent liver biopsy
confirmed the diagnosis of autoimmune hepatitis. She was started on
methylprednisolone with improvement. Our case emphasizes the association
of KD with autoimmune conditions other than SLE. Given the recurrence of
the disease after a decade of quiescence, long-term follow-up of
patients with KD should be implemented.