This is an analysis of the records of 29 children with Kawasaki disease (KD) admitted to Sulaimania Children's Hospital (SCH) in Riyadh in the period between January 1989 and December 1996. The aim was to review our experience with KD in Riyadh and the ability of our paediatricians to recognize the disease. The number of cases admitted from 1993 to 1996 (23) was significantly higher than the number of cases (six) admitted from 1989 to 1892. Of the 29 children who finally met the diagnosis of Kawasaki disease, 19 (66%) were diagnosed on admission.