Diagnostic Criteria for
Presence of fever for at least 5 days and at least four of five criteria:
- Bilateral conjunctival injection without exudate
- Polymorphous rash
- Changes in lips and mouth (Reddened, dry, or cracked lips, Strawberry tongue, Diffuse redness of oral cavity or pharynx)
- Changes in extremities (Reddening of palms or soles, Indurative edema of hands or feet, Desquamation of skin of hands, feet, and groin (in convalescence)
- Cervical lymphadenopathy (More than 15 mm in diameter, usually unilateral, single, non-purulent, and painful)
- Bilateral conjunctival injection without exudate
- Polymorphous rash
- Changes in lips and mouth (Reddened, dry, or cracked lips, Strawberry tongue, Diffuse redness of oral cavity or pharynx)
- Changes in extremities (Reddening of palms or soles, Indurative edema of hands or feet, Desquamation of skin of hands, feet, and groin (in convalescence)
- Cervical lymphadenopathy (More than 15 mm in diameter, usually unilateral, single, non-purulent, and painful)
Exclusion of other conditions with similar clinical picture like:
Staphylococcal scalded skin syndrome, toxic shock syndrome
Scarlet fever
Stevens-Johnson syndrome
Drug reaction
Juvenile rheumatoid arthritis
As there are no permanent conclusions for the birth of Kawasaki disease, its important to treat it as early as possible to prevent damage to the coronary arteries and the heart. If not treated early, it is most likely that coronary arteries and the heart may get damaged.
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Most children treated for Kawasaki disease fully recover from the acute phase and don't need any further treatment. They should, however, follow a healthy diet and adopt healthy lifestyle habits to lower their risk of future heart disease.
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