Kawasaki Disease

Question 1

What is Kawasaki disease?

Answer 1

• Vasculitis of medium-size vessels (coronary, renal, splanchnic, hepatic)

Question 2

How is Kawasaki disease diagnosed?

Answer 2

• Fever >= 5 days and 4 of the following
  
  • Bilateral conjunctivitis
  • Enathem (dry, cracked lips, oropharyngeal erythema, strawberry tongue)
  • Exanthem
  • Erythema (palms and soles) +/- oedema (hands and feet), desquamation
  • Cervical adenopathy

Question 3

What is the management of a child with Kawasaki disease?

Answer 3

• Reduce inflammation as quickly as possible
  
  • IVIG
• Other considerations
  
  • Aspirin (reduce risk of aneurysmic complications), steroids