ALB and Kawasaki disease: A previous report showed that older age was a risk factor for the development of cardiac lesions in Kawasaki disease.12 Another report showed that long duration of fever before treatment and low serum albumin level at hospital admission were factors that predisposed patients with Kawasaki disease to cardiac lesions.27 Since Kawasaki disease is an acute systemic vasculitis, it is reasonable to treat patients with Kawasaki disease using intravenous immunoglobulin or intravenous methylprednisolone in order to prevent cardiac lesions.28,29