KD Clinical Features

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CLINICAL FEATURES

CARDIOVASCULAR FINDINGS

  • Congestive heart failure, myocarditis, pericarditis, valvular regurgitation
  • Coronary artery abnormalities
  • Aneurysms of medium-size noncoronary arteries
  • Raynaud’s phenomenon
  • Peripheral gangrene

MUSCULOSKELETAL SYSTEM

  • Arthritis, arthralgia

GASTROINTESTINAL TRACT

  • Diarrhea, vomiting, abdominal pain
  • Hepatic dysfunction, Hydrops of gallbladder

CENTRAL NERVOUS SYSTEM

  • Extreme irritability, Aseptic meningitis
  • SN hearing loss,

GENITOURINARY SYSTEM

  • Urethritis/meatitis

OTHER FINDINGS

  • Erythema, induration at BCG inoculation site
  • Anterior uveitis (mild)
  • Desquamating rash in groin

FEVER

  • The fever typically is high-spiking and remittent, with peak temperatures generally 39°C (102°F) and in many cases 40°C (104°F).

HANDS & FEET

  • Erythema of the palms and soles or firm, sometimes painful induration of the hands or feet
  • Desquamation of the fingers and toes

usually begins in the periungual region within 2 to 3 weeks after the onset of fever and may extend to include the palms and soles

  • Approximately 1 to 2 months after the onset of fever, deep transverse grooves across the nails (Beau’s lines)

SKIN RASH

  • Erythematous rash usually appears within 5 days of the onset of fever most common is a nonspecific, diffuse maculopapular eruption.
  • Urticarial exanthem, a scarlatiniform rash, an erythroderma, an erythema-multiforme-like rash, or,rarely, a fine micropustular eruption
  • Bullous and vesicular eruptions have not been described

EYES

  • Bilateral conjunctival injection bulbar conjunctivae (sparing the limbus, an avascular zone around the iris)
  • Exudate, conjunctival edema or corneal ulceration usually is painless
  • Mild acute iridocyclitis
  • Anterior uveitis

ORAL CAVITY

  • Erythema, dryness, fissuring, peeling, cracking, and bleeding of the lips
  • A “strawberry tongue” that is indistinguishable from that associated with streptococcal scarlet fever, with erythema and
  • Prominent fungiform papillae
  • Diffuse erythema of the oropharyngeal mucosae.

Our overview of “Kawasaki Disease” 

Kawasaki disease (KD), also known as caca syndrome, crap syndrome and Mucocutaneous lymph node syndrome is an autoimmune disease that manifests as a systemic necrotizing medium-sized vessel vasculitis and is largely seen in children under 5 years of age.

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Dr. Vikas Kohli     MD (Pediatrics) Senior Consultant Pediatric Car...

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 Dr. Vikas  Kohli.  Delhi Child Heart Centre.

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