Kawasaki disease

Multisystemic disorder in children

Clinical features

Acute onset of fever

Maculopapular rash

Cervical lymphadenopathy

Bilateral non-purulent conjunctivitis

Intense Hyperaemia of lips leading to redness and cracking.

Diffuse erythema of oropharynx

Strawberry tongue

Oedema of hands and feet leading to desquamation

Investigation

FBE

ESR

Urea and electrolytes

LFT

Crp

Blood cultures

Urine analysis

ECG

Echocardiogram- Very important

Management

Admission to hospital

Intravenous immunoglobulins

Corticosteroids

Aspirin

Complications

Vasculitis

Coronary aneurysm