Which clinical history findings are characteristic of Kawasaki disease?

Updated: Dec 10, 2018
  • Author: Nadia Jennifer Chiara Luca, MD; Chief Editor: Lawrence K Jung, MD  more...
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Answer

Clinical features common in Kawasaki disease include the following:

  • Fever, at least 5 days in duration, unresponsive to antibiotic therapy

  • Polymorphous exanthem (nonvesicular)

  • Perineal desquamation

  • Changes in peripheral extremities (erythema and/or edema)

  • Cervical lymphadenopathy, usually unilateral, larger than 1.5 cm

  • Bilateral, non-purulent, conjunctivitis

  • Changes of lips and oral cavity - Injection of oral and pharyngeal mucosa, fissured lips

  • Irritability, arthralgia/arthritis


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