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Kawasaki disease mimickers.
- Source :
-
Pediatrics international : official journal of the Japan Pediatric Society [Pediatr Int] 2021 Aug; Vol. 63 (8), pp. 880-888. Date of Electronic Publication: 2021 Jul 16. - Publication Year :
- 2021
-
Abstract
- Background: Kawasaki disease (KD) is an acute systemic vasculitis that predominantly affects patients younger than 5 years. In the absence of an available, affordable diagnostic test, detailed clinical history and physical examination are still fundamental to make a diagnosis.<br />Methods: We present five representative cases with KD-like presentations: systemic onset juvenile idiopathic arthritis, mycoplasma-induced rash and mucositis, staphylococcal scalded skin syndrome, BCGosis, and the recently described multisystemic inflammatory syndrome in children (MIS-C) associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) virus.<br />Results: Rash, fever, and laboratory markers of inflammation can be present in several childhood diseases that may mimic KD.<br />Conclusion: The term 'Kawasaki syndrome' instead of 'Kawasaki disease' may be more appropriate. Physicians should consider an alternative diagnosis that may mimic KD, particularly considering MIS-C during the present pandemic, as an aggressive diagnostic and therapeutic approach is needed.<br /> (© 2020 Japan Pediatric Society.)
Details
- Language :
- English
- ISSN :
- 1442-200X
- Volume :
- 63
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Pediatrics international : official journal of the Japan Pediatric Society
- Publication Type :
- Academic Journal
- Accession number :
- 33249696
- Full Text :
- https://doi.org/10.1111/ped.14561