Criteria for Diagnosis of Kawasaki Disease
|
Fever of ≥5 days' duration associated with at least 4† of the following 5 changes
|
Bilateral nonsuppurative conjunctivitis
|
One of more changes of the mucous membranes of the upper respiratory tract, including pharyngeal injection, dry fissured lips, injected lips, and "strawberry" tongue
|
One or more changes of the extremities, including peripheral erythema, peripheral edema, periungual desquamation, and generalized desquamation
|
Polymorphous rash, primarily truncal
|
Cervical lymphadenopathy >1.5 cm in diameter
|
Disease cannot be explained by some other known disease process
|
†A diagnosis of Kawasaki disease can be made if fever and only 3 changes are present in conjunction with coronary artery disease documented by two-dimensional echocardiography or coronary angiography.
|
Source: Nelson's essentials of pediatrics[1]
|