Fifteen-minute consultation: Kawasaki disease: how to distinguish from other febrile illnesses: tricks and tips

Alison Kelly, Katie Sales, Mary Fenton-Jones, Robert Tulloh

Research output: Contribution to journalReview article (Academic Journal)peer-review

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Abstract

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.

Original languageEnglish
Number of pages6
JournalArchives of Disease in Childhood: Education and Practice Edition
Early online date3 Jan 2020
DOIs
Publication statusE-pub ahead of print - 3 Jan 2020

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