Kawasaki Disease – Diagnostic Criteria Mnemonic

The diagnostic criteria of Kawasaki Disease can be remembered using a mnemonic – “FEBRILE“.

kawasaki-disease

Fever: >5 days plus ≥4 of the following

Enathem:

  • Lips: Erythema, fissuring or crusting
  • Oropharynx: Diffuse injection
  • Tongue: Strawberry tongue

Bulbar conjunctivitis: Bilateral, painless and non-exudative

Rash: Polymorphous rash

Internal organ involvement (not the part of criteria)

  • Cardiac artery aneurysm: commonest and most life-threatening complication
  • Urethritis with sterile pyuria
  • Aseptic meningitis
  • Hydrops of gallbladder
  • Sensorineural hearing loss
  • Uveitis
  • Hepatic dysfunction

Lymphadenopathy: >1.5 cm, non-suppurative

Extremity changes:

  • Erythema of palms or soles
  • Edema (non-pitting)
  • Desquamation (perigenital and perineal followed by periungual, starting at the tips of finger)

Clinical Phases of Kawasaki Disease

kawasaki-disease-clinical-phases

 

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