KD Diagnosis

Diagnosis Of Kawasaki Disease..

 

HOW IS KAWASAKI DISEASE DIAGNOSED ?

  1. Changes in extremities
    • Acute: Erythema of palms, soles; edema of hands, feet
    • Subacute: Periungual peeling of fingers, toes in weeks 2 and 3
  2. Polymorphous exanthem
  3. Bilateral bulbar conjunctival injection without exudate
  4. Changes in lips and oral cavity: Erythema, lips cracking, strawberry tongue, diffuse injection of oral and pharyngeal mucosae
  5. Cervical lymphadenopathy (1.5-cm diameter), usually unilateral

Exclusion of other diseases with similar findings-

DIFFERENTIAL DIAGNOSIS

DIAGNOSIS

OTHER PRESENTATIONS

DIAGNOSIS OF KD

Patients with fever at least 5 days and< 4 principal criteria can be diagnosed with Kawasaki disease when coronary artery abnormalities are detected by 2DE or angiography.

In the presence of 4 principal criteria, Kawasaki disease diagnosis can be made on day 4 of illness.

Experienced clinicians who have treated many Kawasaki disease patients may establish diagnosis before day 4.

DIAGNOSIS IN < 6 M OLD INFANTS

WHEN NOT TO SUSPECT KAWASAKI DISEASE

Characteristics suggesting disease

other than Kawasaki disease include

 

 Dr. Vikas  Kohli.  Delhi Child Heart Centre.

Appointments: 011-26960091 (9 am to 6 pm).