I read with interest the very informative review on Kawasaki disease – an Indian perspective(1). However their assertion that cases of Kawasaki disease are commonly missed by Indian pediatricians because of lack of awareness of the disease is presumptuous. The bigger danger is in missing the window of opportunity in discovering the cause of Kawasaki disease. There is some change which we do not understand well, and it is not solely our lack of knowledge of the disease that more cases are coming to light in some areas and not in others. A serious study of the epidemiology of the disease potentially can uncover the cause in times of transition being witnessed in India, rather than assuming the lack of awareness as the reason.