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You admit a 3 year old Asian boy for fever of 6 days. You suspect Kawasaki's disease. What other criteria will you look for to diagnose TYPICAL Kawasaki disease?
Fever of 5+ days plus 4 or more of the criteria below:
1. changes in extremities - erythema of palms/soles, edema of hands/feet, periungal peeling of fingers/toes (week 2-3)
2. Polymorphous exanthem
3. Bilateral bulbar conjunctival infection without exudate
4. Changes in lips and oral cavity - erythema, lips cracking, strawberry tongue, injected OP mucosa
5. Cervical Lymphadenopathy (> 1.5 cm), usually unilateral
Associated labs = high ESR and CRP, leukocytosis with neutrophilia, anemia, abnormal lipids, hypoalbuminemia, hyponatremia, thrombocytosis after week 1, sterile pyuria, high LFTs, high GGT