Kawasaki disease

Question 1

what is it?

Answer 1

a type of vasculitis which is predominately seen in children. Whilst Kawasaki disease is uncommon it is important to recognise as it may cause potentially serious complications, including coronary artery aneurysms.

Question 2

features

Answer 2

high-grade fever which lasts for > 5 days. Fever is characteristically resistant to antipyretics

conjunctival injection

bright red, cracked lips

strawberry tongue

cervical lymphadenopathy

red palms of the hands and the soles of the feet which later peel

Question 3

ix

Answer 3

clinical diagnosis

Question 4

Mx

Answer 4

1. high dose aspirin
2. IV immunoglobulin
3. Echo

Question 5

Complications

Answer 5

coronary artery aneurysm