[Kawasaki syndrome (author's transl)].

In a 2-year 4-month-old boy endarteritic changes and spindle-shaped aneurysmas of the coronary arteries were found as a complication of Kawasaki syndrome. The vascular alteration, probably immunopathologically based, must be differentiated as a primary endarteritic process from primary necrotising periateritis nodosa which also occurs in childhood. The fate of the affected children is determined by the complications of coronary artery changes which however occur only in 1--2% of affected persons.