Kawasaki disease diagnostic criteria
Classic criteria for complete Kawasaki disease.
Inputs
0 of 1days
Bilateral nonexudative conjunctival injection
Lip and oral changes (red cracked lips, strawberry tongue)
Polymorphous rash
Extremity changes (redness, swelling, later peeling)
Cervical lymphadenopathy (1.5 cm or larger, usually unilateral)
When to use
- Children with prolonged fever.
Pearls and pitfalls
- Incomplete Kawasaki: fever 5 days or more with 2–3 features; use the AHA labs and echo algorithm.
- Treat with IVIG 2 g/kg and aspirin, ideally within 10 days of fever onset.
Why use
Missing it risks coronary aneurysms.
Fever ≥ 5 days plus at least 4 of 5 principal features