Kawasaki Disease
What is it?
Acute febrile vasculitis of childhood with unknown cause. The characteristic rash of KD usually appears 4-5 days after the onset of fever. It is typically non-pruritic and starts with a diffuse erythematous rash over the trunk, and then spreads to the extremities. Initially, the rash is macular, but then becomes more papular, and can resemble a sunburn. It is usually noticed on the skin at pressure points like the groin and armpits.
Symptoms
- Fever lasting for more than five days
- Redness in the eyes (Conjunctivitis)
- A rash
- Swollen glands in the neck (cervical lymphadenopathy)
- Redness and swelling in the hands and feet
- Strawberry tongue
- Desquamation (peeling) of fingers and toes in the late stages
Treatment
Complications
Monitor for Reye’s Syndrome since child is taking large doses of Aspirin
The major complication is Coronary artery aneurysms
