Kawasaki disease history and symptoms: Difference between revisions

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*[[Fever]] not responsive to [[acetaminophen]] or [[ibuprofen]]
*[[Fever]] not responsive to [[acetaminophen]] or [[ibuprofen]]
===Common Symptoms===
===Common Symptoms===
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Common symptoms of Kawasaki disease include:
Common symptoms of Kawasaki disease include:
*High grade [[fever]]
*High grade [[fever]]
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*[[Weakness]]
*[[Weakness]]
*[[Rhinorrhea]]
*[[Rhinorrhea]]
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==References==
==References==

Revision as of 16:05, 24 April 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dildar Hussain, MBBS [2]

Overview

Kawasaki disease often begins with a high and persistent fever that is not very responsive to normal doses of acetaminophen or ibuprofen. The fever may persist and rise steadily for up to two weeks and is normally accompanied by irritability. Affected children develop red eyes, mucous membranes, and lips, a "strawberry tongue", iritis, keratic precipitates (detectable by an ophthalmologist but usually too small to be seen by the naked eye), and swollen lymph nodesSkin rashes occur early in the disease, and peeling of the skin in the genital area, hands, and feet may occur in later phases. Some of these symptoms may come and go during the course of the illness.

History and Symptoms

Symptoms of Kawasaki disease include a high and persistent fever, skin rashes, desquamation of skin, irritability, erythematous eyes, lips and mucous membranes, strawberry tongue, iritis, keratic precipitates, and swollen lymph nodes.[1]

History

Patients with Kawasaki disease may have a positive history of:

Common Symptoms

Source:commons.wikimedia. org, demonstrates a "strawberry tongue" caused by prominence of the tongue papillae by Kawasaki_symptoms.jpg: Dong Soo Kimderivative work: Natr (talk) - Kawasaki_symptoms.jpg, CC BY 2.0, https://commons.wikimedia.org/w/index.php?curid=12776137

Common symptoms of Kawasaki disease include:

  • High grade fever
    • Greater than 39 °C or 102 °F; often as high as 40 °C or 104 °F that normally lasts for more than a week if left untreated
  • Conjunctival injection
  • Fissuring of the lips
  • Strawberry tongue with prominent papillae
  • Erythematous palms of the hand and soles of the feet
  • Desquamation of skin
  • Erythematous mucous membranes
  • Cervical lymphadenopathy
  • Rash over the trunk

Less Common Symptoms

Less common symptoms of Kawasaki disease include:

References

  1. McCrindle, Brian W.; Rowley, Anne H.; Newburger, Jane W.; Burns, Jane C.; Bolger, Anne F.; Gewitz, Michael; Baker, Annette L.; Jackson, Mary Anne; Takahashi, Masato; Shah, Pinak B.; Kobayashi, Tohru; Wu, Mei-Hwan; Saji, Tsutomu T.; Pahl, Elfriede (2017). "Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association". Circulation. 135 (17): e927–e999. doi:10.1161/CIR.0000000000000484. ISSN 0009-7322.

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