How to Diagnose Kawasaki Disease

Kawasaki disease typically affects children under 5 years of age. The body's blood vessels swell with this illness. No specific laboratory test can diagnose it with 100% accuracy; however, symptoms can be used to identify it. Here is a list of criteria for diagnosis in the order of occurrence.

Instructions

    • 1

      Have a fever for at least 5 days straight. Your doctor wants to see a child with a fever of this duration so he can rule out this condition. If it goes untreated, the fever can last up to 11 days.

    • 2

      Know the visual symptoms to help diagnose Kawasaki disease. A rash appears on the palms of your child's hands and soles of his feet. His skin will begin to peel from his fingertips.

    • 3

      Check out the eyes and lips. They both would be irritated with the whites of the eyes appearing reddish, similar to pink eye. The lips will also appear red.

    • 4

      Look for swelling and inflammation. The neck lymph nodes swell and the mouth, lips and throat become inflamed and irritated along with a general body rash. The rash could have mildly raised spots.

Tips & Warnings

  • A spinal tap may be necessary for the doctor to diagnose Kawasaki disease. This test can show inflammation of the spinal fluid which can confirm the diagnosis.

  • Once diagnosed, an ultrasound of the heart is done to get baseline measurements of the coronary arteries.

  • This disease occurs worldwide with the highest incidence in Japan. It mostly affects boys. In the US, studies have shown occurrences anywhere from 9 to 19 out of 100,000 children under 5 years of age.

  • Although the symptoms can go away without any treatment in 6 to 8 weeks, the effects on the coronary arteries can last forever. Always consult a doctor.

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