1 Washington University School of Medicine, St. Louis, Missouri 63110
In the September 1974 issue of Pediatrics, Kawasaki et al.1 described the clinical manifestations of acute febrile mucocutaneous lymph node syndrome (MLNS), and Yanagisawa et al.2 described a patient with MLNS who died of aneurysmal dilatation and bilateral obstruction of the coronary arteries. In an editorial in the same issue, Fetterman and Hashida3 suggested that the syndrome had not been recognized in the continental United States. Such a case may have been described but not recognized as a case of MLNS.