Typical strawberry tongue of a child with Kawasaki disease

Recently, India’s B.P. Poddar Hospital and Research Center reported a case of Kawasaki Disease, published in the New England Journal of Medicine.

An eight-year-old girl went to the hospital for [rash with fever for one week]. Physical examination showed diffuse macula, crack on lips and strawberry tongue. Her body temperature was 39 ℃. Conjunctival congestion in both eyes, swelling of some cervical lymph nodes, redness of palms and metatarsus, mild eczema in both hands and desquamation of palms were found. Heart examination showed no abnormality.

Laboratory examination revealed leukocytosis of 13 000/cubic millimeter (normal range is 3 500 ~ 10 500/cubic millimeter); The erythrocyte sedimentation rate was high (80 mm/h) (normal range was 0 ~ 29 mm/h). There were no abnormalities in platelet count, electrocardiogram and cardiac ultrasound.

The clinical diagnosis is Kawasaki disease.

After admission, aspirin and immunoglobulin were given. Follow-up visit was made eight weeks later.

Kawasaki disease is a disease with vasculitis as the main pathological change, Acute febrile eruptive pediatric disease. Most of them are children under the age of five and involve the middle artery. Accurate diagnosis and early treatment can reduce the probability of coronary artery disease. Kawasaki disease has no specific diagnostic test and can only be diagnosed by typical clinical symptoms, infectious acute rash and response to drug therapy.

Responsible Editor: Fei Fei

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