dr Sujata Sawhney
Pediatric Rheumatologist

About Author

KD is fairly common disease in children. It is a serious disease as it involves coronary arteries in almost 1/4thof the patients. Difficult to diagnose as there is no single confirmatory test. A very young infant with KD may present only with high fever & marked irritability with none of the clinical features described below. Once you suspect the diagnosis, investigate for laboratory and cardiac ECHO.

Important symptoms & signs of Kawasaki Disease

Fever persisting for at least 5 days andpresence of at least four of the five principal features.

  • Changes in extremities
    • Acute: Erythema of palms, soles; oedema of hands, feet
    • Subacute:Periungual peeling of fingers and toes in 2 to 3 weeks
  • Bilateral bulbar conjunctival injection without exudate
  • Cervical lymphadenopathy (>1.5 cm diameter), usually unilateral
  • Changes in lips and oral cavity: erythema, lips cracking, strawberry tongue
  • Polymorphous exanthema


Posted On: 07/05/2018

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