Box 34-10
Epidemiologic Case Definition of Kawasaki Disease (Classic Clinical Criteria)
Fever persisting at least 5 days
Presence of at least four of the five following principal features :
1. Changes in extremities
Acute : Erythema of palms and soles, edema of hands and feet
Subacute : Periungual peeling of fingers and toes in second and third week
2. Polymorphous exanthem
3. Bilateral bulbar conjunctival injection without exudate
4. Changes in the lips and oral cavity : Erythema and cracking of lips, strawberry tonque, diffuse injection of oral and pharyngeal mucosea
5. Cervical lymphadenopathy (nodes larger than 1.5 cm in diameter), usually unilateral