In Kawasaki disease, desquamation and denudation of skin from fingers and toes occur at
Kawasaki disease can be divided into 3 clinical phases:Clinical phasedurationClinical featuresAcute febrile phase1-2 weeksfeverSubacute2-3 weeksDesquamation and peeling of fingers and toesCoronary aery aneurysmHigh risk of sudden deathConvalescence6-8weeksrecoveryKawasaki disease- Clinical Criteria1. Fever persisting at least for 5 days2. Presence of at least 4 of the following features. a) Changes in extremities:Acute: erythema of palms, soles, edema of hands and feetsSubacute: periungual peeling of fingers, toesb) Polymorphous exanthemac) Bilateral nonexudative bulbar conjunctival injectiond) Changes in lips and oral cavity(erythema, strawberry tongue)e) Cervical lymphadenopathy( unilateral and >1.5cm diameter)Other Features:GIANT CORONARY AERY ANEURYSMS (>8mm internal diameter)Thrombocytosis after 1st weekInduration of BCG inoculation site
3rd - 6th weeks
2nd - 3rd week
After 1st week
After 6 weeks
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