Kawasaki Disease Diagnostic Criteria

Select Criteria:

Diagnostic : 1 Required Criteria and 4 Additional Criteria
Required Criteria
Fever for at least five days generally high and spiking (often to 40° C or more), persisting for one to two weeks or longer in untreated patients.
Additional Criteria
Changes in arms or legs: redness, swelling and induration of the hands and feet. One to three weeks after the onset of fever, desquamation of the fingers and toes may occur. Beau's lines (white lines across the fingernails) may appear one to two months after acute febrile illness.
Polymorphic exanthem involving the trunk and extremities. Forms include: urticarial exanthem, morbilliform maculopapular eruption, target lesions, and a diffuse scarlatiniform rash. Rashs usually appear within five days of the onset of fever.
Painless, nonexudative bilateral bulbar conjunctival injection
Strawberry tongue, redness and cracking of the lips, and erythema of the oropharyngeal mucosa. No mouth ulcers.
Cervical lymphadenopathy: often unilateral, slightly tender, firm nodes.
Rule out other diseases with similar findings.
  1. Dajani AS, Taubert KA, Gerber MA, Shulman ST, Ferrieri P, Freed M, et al. Diagnosis and therapy of Kawasaki disease in children. Circulation. 1993;87:1776-80.
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