The diagnosis of KD requires the presence of fever lasting at least 5 days* without any other explanation combined with at least 4 of the 5 following criteria. A significant proportion of children with KD have a concurrent infection; therefore, ascribing the fever to such an infection or to KD requires clinical judgment. |
Bilateral bulbar conjunctival injection |
Oral mucous membrane changes, including injected or fissured lips, injected pharynx, or strawberry tongue |
Peripheral extremity changes, including erythema of palms or soles, edema of hands or feet (acute phase), and periungual desquamation (convalescent phase) |
Polymorphous rash |
Cervical lymphadenopathy (at least 1 lymph node >1.5 cm in diameter) |
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