What are the diagnostic criteria for Kawasaki disease?

If we want to treat the disease, we must know the diagnosis method of the disease, because only with a full understanding of the disease can we carry out correct treatment. Our pediatric experts said that there are many diagnostic reference standards for Kawasaki disease, and we need to understand them carefully. Just read on and you will know.

The Japanese Mucocutaneous Lymph Node Syndrome Research Committee (1984) proposed that the diagnosis of this disease should be confirmed by meeting at least five of the following six main clinical symptoms:

① Fever of unknown cause lasting for 5 days or longer;

②Bilateral conjunctival congestion;

③ Diffuse congestion of the oral and pharyngeal mucosa, red and chapped lips, and a bayberry tongue;

④ In the early stage of the disease, there are hard swelling of the hands and feet and redness of the palms and soles, and membranous peeling of the fingertips and toes during the recovery period;

⑤ Erythema multiforme on the trunk, but without blisters and scabs;

⑥ Non-suppurative swelling of cervical lymph nodes, with a diameter of 1.5 cm or more. However, if two-dimensional echocardiography or coronary angiography detects coronary artery aneurysm or dilatation, the diagnosis can be confirmed if the four main symptoms are positive.

Incomplete or atypical cases are reported more frequently, accounting for about 10% to 20%. They only have 2 to 3 main symptoms, but have typical coronary artery lesions. They mostly occur in infants. The incidence of coronary artery aneurysms in typical cases is similar to that in atypical cases. Once Kawasaki disease is suspected, an echocardiogram should be performed as soon as possible.

The above content is an introduction to the relevant knowledge about the diagnostic criteria of Kawasaki disease. I believe these contents can bring some help to parents and friends. We need to pay attention to it in life and don’t think that this is a minor illness. The harm of this disease is particularly great. We need to do a good job of prevention so as to reduce the occurrence of this disease.