Incomplete KD should be suspected and laboratory evaluation performed in patients less than six months of age with unexplained fever ≥7 days, even if they have no clinical findings of KD, and in patients of any age with unexplained fever ≥5 days and only two or three clinical criteria
Diagnostic criteria for Kawasaki disease
| The diagnosis of Kawasaki disease requires the presence of fever lasting at least five days* without any other explanation combined with at least four of the five following criteria: |
| Bilateral bulbar conjunctival injection |
| Oral mucous membrane changes, including injected or fissured lips, injected pharynx, or strawberry tongue |
| Peripheral extremity changes, including erythema of palms or soles, edema of hands or feet (acute phase), and periungual desquamation (convalescent phase) |
| Polymorphous rash |
| Cervical lymphadenopathy (at least one lymph node >1.5 cm in diameter) |
*If ≥4 of the above criteria are present, Kawasaki disease can be made on Day 4 of illness.
IKD IF 2 0R 3
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