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Medical Health Encyclopedia
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Lymphatic system
Lymphatic system
Kawasaki's disease, peeling of the fingertips
Kawasaki's disease, peeling of the fingertips
Kawasaki's disease - edema of the hand
Kawasaki's disease - edema of the hand


Kawasaki disease

Alternative Names:
Mucocutaneous lymph node syndrome; Infantile polyarteritis

Symptoms:

Kawasaki disease often begins with a high and persistent fever greater than 102°F, often as high as 104°F. A persistent fever lasting at least five days is considered a hallmark sign. The fever may persist steadily for up to two weeks and is not very responsive to normal doses of acetaminophen or ibuprofen.

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Other symptoms often include:

  • Extremely bloodshot or red eyes (without pus or drainage)
  • Bright red, chapped, or cracked lips
  • Red mucous membranes in the mouth
  • Strawberry tongue, white coating on the tongue, or prominent red bumps on the back of the tongue
  • Red palms of the hands and the soles of the feet
  • Swollen hands and feet
  • Skin rashes, NOT blister-like, on the trunk
  • Peeling skin in the genital area, hands, and feet (especially around the nails, palms, and soles)
  • Swollen lymph nodes (frequently only one lymph node is swollen), particularly in the neck area.
  • Joint pain and swelling, frequently symmetrical


Signs and tests:

There are no tests that specifically diagnose Kawasaki disease. The diagnosis is usually made based on the patient having most of the classic symptoms.

However, some children may have a fever lasting more than 5 days, but few of the other classic symptoms of the disease. Therefore, all children with fever lasting more than 5 days should be evaluated, with Kawasaki disease considered as a possibility. (The American Heart Association released guidelines for this assessment in the October 26, 2004 issue of Circulation.) Early treatment is essential for those who do have the disease.

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