TY - JOUR
T1 - Fifteen-minute consultation
T2 - Kawasaki disease: how to distinguish from other febrile illnesses: tricks and tips
AU - Kelly, Alison
AU - Sales, Katie
AU - Fenton-Jones, Mary
AU - Tulloh, Robert
PY - 2020/1/3
Y1 - 2020/1/3
N2 - Kawasaki disease (KD) is challenging to diagnose because there is no specific laboratory test and the presentation is often similar to common childhood infections. We highlight some of those KD diagnostic challenges. KD, a self-limiting vasculitis, can cause coronary artery aneurysms. The aim is to optimise management during the acute febrile illness to try and prevent these because a giant coronary artery aneurysm is devastating enough without thinking that it might have been prevented. The conundrum for acute paediatricians is which clinical features best distinguish the febrile child with possible KD, needing intravenous immunoglobulin, from the many other children with febrile illnesses.
AB - Kawasaki disease (KD) is challenging to diagnose because there is no specific laboratory test and the presentation is often similar to common childhood infections. We highlight some of those KD diagnostic challenges. KD, a self-limiting vasculitis, can cause coronary artery aneurysms. The aim is to optimise management during the acute febrile illness to try and prevent these because a giant coronary artery aneurysm is devastating enough without thinking that it might have been prevented. The conundrum for acute paediatricians is which clinical features best distinguish the febrile child with possible KD, needing intravenous immunoglobulin, from the many other children with febrile illnesses.
U2 - 10.1136/archdischild-2019-316834
DO - 10.1136/archdischild-2019-316834
M3 - Review article (Academic Journal)
C2 - 31900257
SN - 1743-0585
JO - Archives of Disease in Childhood: Education and Practice Edition
JF - Archives of Disease in Childhood: Education and Practice Edition
ER -