Age |
1–4 yearsold |
Mean 8 years old (2-17 y) |
Presenting symptoms |
Fever for 5 days plus 4/5: conjunctivitis,rash,adenopathy, strawberry tounge,hand/food swelling |
Persistent fever >24 h, GI symptoms, rash, conjunctivitis |
Rash |
Yes; polymorphus |
Yes, less common to have mucosal involment |
Gastrointestinal symptoms |
Less common |
Very common (abdominaş pain, vomiting, diarrhea |
Labs |
Leukocytosis, Trombocytosis, elevated CRP,ESR, |
Lympocytopenia, Trombocytopenia,Elevated CRP, ESR, elevated cardiac markers |
Echocardiyogram |
Coronory artery abnormalities |
Decreased left ventriculer function, coronoary artery abnommalities |
Treatment |
IVIG, aspirin |
Generally supportive; anticoagulant, steroids, IL-1/IL-6 antagonists |