Table 1.
Diagnosis of Kawasaki disease
| Classic clinical criteria | |
| Fever persisting for at least 5 days | |
| Plus | |
| At least four of the following principle features: | |
| 1.Extremity changes | Erythema of palms/soles, edema of hands/feet, periungual peeling of fingers, toes in weeks 2–3 |
| 2.Rash | Polymorphous exanthema, NOT bullous/vesicular |
| 3.Changes in lips and oral cavity | Erythema, cracked lips, strawberry tongue, diffuse injection of oral and pharyngeal mucosa |
| 4.Conjunctival injection | Bilateral, bulbar sparing limbus, nonpurulent |
| 5.Cervical lymphadenopathy | >1.5 cm in diameter, usually unilateral |
| Supplemental laboratory criteria | |
| Hypoalbuminia | <3.0 mg/dL |
| Alanine aminotransferase (ALT) | Elevation above reference range (varies by laboratory) |
| Anemia for age | Decreased in hemoglobin below reference range for age |
| Leukocytosis | White blood cells >15,000/mm3 |
| Sterile pyuria (urinalysis) | ≥10 WBC/HPF (high-power field) |
| Thrombocytosis after 7 days | Platelets >450,000/mm3 after 7 days |