Wednesday, January 12, 2011
Kawasi disease
Kawasaki disease is an acute febrile vasculitis of unknown etiology. Epidemics in young children occur in the late winter and spring, with the highest incidence among individuals of Japanese descent. There are 3 distinct stages. In the acute stage (1-11 days), patients develop high fevers (> 100° F), ocular changes (conjunctivitis, anterior uveitis), perianal erythema, acral edema and erythema, oropharyngeal changes (strawberry tongue, hyperemia, fissuring), and lymphadenopathy. In the subacute stage (11-30 days), there may be persistent irritability, anorexia, conjunctival injection, thrombocytosis, acral desquamation (shown), and aneurysmal formation.
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