DIFFERENTIAL DIAGNOSIS : KAWASAKI DISEASE

Differential Diagnoses of Kawasaki Disease   KD Scarlet fever Measles SJS TSS SJIA Strawberry tongue Present Present Absent Absent Absent Absent Red eyes Present (non- Absent Exudative Absent Exudative Absent   exudative)   conjunctivitis   conjunctivitis   Red lips Present Absent Absent Absent Absent Absent Response to antibiotics Does not Brisk response NR NR NR NR   respond in 48 h         Peeling Perineal and periungual Generalized NR NR Generalized NR Follicular tonsillitis Usually absent May be present NR NR NR NR Edema of extremities Present Absent Absent Absent Absent Absent Koplik spots Absent NR Present NR NR NR Oral ulcers Absent NR NR Present NR NR Hepatosplenomegaly Absent Absent NR NR NR Present Hypo tension /renal impairment Absent NR NR NR Present NR Leukocyte counts Elevated May be elevated Normal NR NR Elevated ESR and C-reactive protein Elevated May be normal NR NR NR Elevated NR: Non-relevant; SJS: Steven Johnson syndrome; TSS: Toxic shock syndrome; SJIA: Systemic onset juvenile idiopathic arthritis; KD: Kawasaki disease; ESR: Erythrocyte sedimentation rate