Indian Journal of Dermatology
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DERMA-QUEST
Year : 2006  |  Volume : 51  |  Issue : 2  |  Page : 152
A febrile infant with rash and coronary aneurysm


Department of Paediatrics, Institute of Child Health, Kolkata, India

Correspondence Address:
Rajoo Thapa
Department of Paediatrics, Institute of Child Health, Kolkata
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.26945

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How to cite this article:
Thapa R. A febrile infant with rash and coronary aneurysm. Indian J Dermatol 2006;51:152

How to cite this URL:
Thapa R. A febrile infant with rash and coronary aneurysm. Indian J Dermatol [serial online] 2006 [cited 2019 Nov 17];51:152. Available from: http://www.e-ijd.org/text.asp?2006/51/2/152/26945


A 28-day-old female neonate presented with high-grade fever and diffuse maculo-papular rash involving the trunk for the last 12 days. She also had bilateral redness of the eyes, edema of hands and feet with cervical lymphadenopathy.

QUESTIONS

1. What is the diagnosis?

2. What are the criteria for diagnosis of this condition?

3. What is the primary complication in untreated cases?

4. What is the standard treatment for this condition?


   Answer to Derma-Quest - II Top


Ans 1. Kawasaki disease

Ans 2. Fever of at least five days duration along with any four of the five findings given below:

I. Changes in extremities.

Acute: Erythema of palms, soles; edema of hands, feet. Subacute: Periungual peeling of fingers toes in weeks 2 and 3.

II. Polymorphous exanthem.

III. Bilateral bulbar conjunctival injection without exudates.

IV. Changes in lips and oral cavity: Erythema, lips cracking, strawberry tongue, diffuse injection of oral and pharyngeal mucosae.

V. Cervical lymphadenopathy (>1.5-cm diameter), usually unilateral. Exclusion of other diseases with similar findings.

Ans 3 . Development of coronary aneurysms

Ans 4 . Intravenous gamma globulin (IVIG)


    Figures

[Figure - 1], [Figure - 2], [Figure - 3], [Figure - 4]



 

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