Shah, Bipesh Kumar2025-10-292025-10-292023https://hdl.handle.net/20.500.14572/2895Bipesh Kumar Shah Bipesh Kumar Shah, Department of Paediatrics, B.P. Koirala Institute of Health Sciences, Buddha Road, Dharan - 56700, Sunsari, NepalAbstract: Kawasaki disease is an acute necrotizing vasculitis of medium sized vessels occurring in children aged six months to five years with predisposition to involve coronary arteries. Fever followed by mucous membrane changes are the frequent manifestation of the disease. Arthralgia occurring at the outset of Kawasaki disease is less common which can become challenging in the diagnosis of Kawasaki disease. There are no such cases reported in literature.en-USArthralgiakawasakivasculitisArticle