Table 1.

Diagnostic criteria for Kawasaki disease.

Fever for 5 days or more

Presence of at least four of the following five conditions:

(1) Bilateral (non‐purulent) conjunctivitis

(2) Skin rash

(3) Changes in the lips and mouth

• reddened, dry or cracked lips

• strawberry tongue

• diffuse erythema of oral or pharyngeal mucosa

(4) Changes in the extremities

• erythema of palms or soles

• indurative edema of hands or feet

• desquamation of skin of hand, feet and perineum

(5) Cervical lymphadenopathy

• more than 1.5 cm in diameter

Differential diagnosis with a similar presentation:

Staphylococcal infection (such as scalded skin syndrome, toxic shock syndrome), streptococcal infection (such as scarlet fever, toxic shock‐like syndrome, carriage of group A streptococcus does not exclude the possibility of Kawasaki disease), measles and other viral exanthems (including rubella, enterovirus, Epstein–Barr virus, cytomegalovirus, human herpes virus 6, parvovirus), mycoplasma, Stevens–Johnson syndrome, drug reaction, juvenile rheumatoid arthritis.