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al outcomes. This article contains a podcast at https//www.asn-online.org/media/podca....st/CJASN/2020_09_18_ This article contains a podcast at https//www.asn-online.org/media/podca....st/CJASN/2020_09_18_ Patients with Kawasaki disease (KD) with coronary artery enlargement at diagnosis are at the highest risk for persistent coronary artery aneurysms (CAAs) and may benefit from primary adjunctive anti-inflammatory therapy beyond intravenous immunoglobulin (IVIG). We evaluate the effect of primary adjunctive cort