Kawasaki disease history and symptoms: Difference between revisions
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== Overview == | == 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 redness of the eyes, [[Mucous membrane|mucous membranes]], and lips, a "[[strawberry tongue]]", [[iritis]], keratic precipitates (detected by an [[Ophthalmology|ophthalmologist]] but usually too small to be seen by the naked eye), and swollen [[Lymph node|lymph nodes]]. [[Skin rash]] occur early in the [[disease]], and peeling of the [[skin]] in the [[genital area]], [[Hand|hands]], and feet may occur in the later phases. Some of these symptoms may come and go during the course of the illness. | 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 redness of the eyes, [[Mucous membrane|mucous membranes]], and lips, a "[[strawberry tongue]]", [[iritis]], keratic precipitates (detected by an [[Ophthalmology|ophthalmologist]] but usually too small to be seen by the naked eye), and swollen [[Lymph node|lymph nodes]]. [[Skin rash]] occur early in the [[disease]], and peeling of the [[skin]] in the [[genital area]], [[Hand|hands]], and feet may occur in the later phases. Some of these [[Symptom|symptoms]] may come and go during the course of the [[illness]]. | ||
==History and Symptoms== | ==History and Symptoms== | ||
Revision as of 19:13, 14 February 2020
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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 redness of the eyes, mucous membranes, and lips, a "strawberry tongue", iritis, keratic precipitates (detected by an ophthalmologist but usually too small to be seen by the naked eye), and swollen lymph nodes. Skin rash occur early in the disease, and peeling of the skin in the genital area, hands, and feet may occur in the 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:
- Fever not responsive to acetaminophen or ibuprofen
Common Symptoms
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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
- ↑ 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.