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.
High Fever lasting > 5 days
Symptoms
Mostly in children under 5 years of age. Possibly viral
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
Strawberry Tongue
Conjunctivitis
Red, swollen hands & feet
Treatment
IV Immunoglobulin (IVIG) to fight inflammation. Start within 10 days of onset
High doses of aspirin for its anti-inflammatory and antiplatelet effects
Complications
Monitor for Reye’s Syndrome since child is taking large doses of Aspirin
Cerebral Edema and Hepatic Encephalopathy
The major complication is Coronary artery aneurysms