Question 277 · LEK · Kawasaki disease
A 2-year-old boy was admitted to the hospital because of a high fever in the last 7 days and neck lymphadenopathy. On the 5th day of the fever maculopapular eruptions occurred in the area of the crotch and on the trunk. Conjunctivitis, red lips and „strawberry” tongue were also noted. Laboratory tests showed elevated markers of inflammation (CRP), thrombocytosis, anemia, ALT = 100 U/L, AST = 85 U/L, normal coagulation tests. Which of the following diagnoses is the most probable?
- A. Henoch-Schönlein purpura.
- B. Kawasaki disease.
- C. rheumatic fever.
- D. scarlet fever.
- E. none of the above.
Hint
Count the classic criteria: fever over 5 days plus mucocutaneous signs and lymphadenopathy, with a rising platelet count.
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