Which among the following diagnostic criterion is most characteristic of Kawasakis disease
Correct Answer: Periungual desquamation
Description: Ans) a (Periungual desquamation) Ref Nelson 18th ed p 1039Bilateral bulbar conjunctival injection without exudates and cervical lymphadenopathy are present in the classical criterion for diagnosis. So both B and C can be excluded. Splenomegaly is not mentioned in the GI manifestations of Kawazakis disease.Usually cervical lymphadenopathy is seen in about 30% of patients where as rest of the diagnostic criterias are seen in more than 80% of patients For classic Kawasaki disease, the diagnostic criteria require the presence of fever for at least 5 days and at least four of five of the other characteristic clinical features of illness.CLASSIC CLINICAL CRITERIAFever persisting at least 5 daysPresence of at least 4 principal features:Changes in extremitiesAcute: Erythema of palms, soles; edema of hands, feetSubacute: Periungual peeling of fingers, toes in weeks 2 and 3Polymorphous exanthemaBilateral bulbar conjunctival injection without exudatesChanges in lips and oral cavity: Erythema, lips cracking, strawberry tongue, diffuse injection of oral and phyryngeal mucosaeCarvical lymphadenopathy (>1.5 cm diameter) usually unilateral Gastrointestinal tract manifestation of Kawazaki disease* Diarrhea, vomiting, abdominal pain* Hepatic dysfunction* Hydrops of gallbladder
Category:
Pediatrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now