SCIENTIFIC LETTER Retinal Vasculitis in Kawasaki Disease Sikha Agarwal 1 & Samyak Mulkutkar 2 & Deepti Suri 1 & Surjit Singh 1 & Amod Gupta 2 Received: 18 December 2014 /Accepted: 2 April 2015 # Dr. K C Chaudhuri Foundation 2015 To the Editor: While anterior uveitis is a common ophthalmo- logic finding in Kawasaki Disease (KD) [1], retinal vasculitis is distinctly uncommon. We report a 4-y-old boy with KD who developed diminution of vision in the subacute phase of illness and was found to have retinal vasculitis. A 4-y-old boy presented with history of fever 1 ½ mo back. In the first week, he had developed maculo-papular rash, bi- lateral conjunctival congestion, red tongue and cracking of lips, with edema over dorsum of hands and feet. In the second week, parents noticed periungual peeling of the skin. Fever subsided in next 15 d but in third week of illness there was diminution of vision – gradual, painless and progressive. He was administered three pulses of intravenous methylprednis- olone (30 mg/kg/d) for suspected retinal vasculitis in associa- tion with KD and referred to our institute. He had developed Beau’ s lines by this time. Ophthalmological examination here showed a normal pupillary reaction. Visual acuity was finger counting at 1 m. The anterior chamber was normal and intra- ocular pressure was not elevated. Fundus examination showed bilateral pale optic discs and extensive sheathing and sclerosis of all retinal vessels, suggestive of healed retinal vasculitis (Fig. 1a and b). Investigations showed a normal C-reactive Fig. 1 Right (a) and left (b) fundus photos showing optic disc pallor and sclerosed retinal vessels * Surjit Singh surjitsinghpgi@rediffmail.com 1 Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India 2 Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India Indian J Pediatr DOI 10.1007/s12098-015-1763-x