Thursday, 13 July 2017

IKD

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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