PT  - JOURNAL ARTICLE
AU  - Alison Kelly
AU  - Katie Sales
AU  - Mary Fenton-Jones
AU  - Robert Tulloh
TI  - Fifteen-minute consultation: Kawasaki disease: how to distinguish from other febrile illnesses: tricks and tips
AID  - 10.1136/archdischild-2019-316834
DP  - 2020 Jun 01
TA  - Archives of disease in childhood - Education & practice edition
PG  - 152--156
VI  - 105
IP  - 3
4099  - http://ep.bmj.com/content/105/3/152.short
4100  - http://ep.bmj.com/content/105/3/152.full
SO  - Arch Dis Child Educ Pract Ed2020 Jun 01; 105
AB  - Kawasaki disease (KD) is challenging to diagnose because there is no specific laboratory test and the presentation is often similar to common childhood infections. We highlight some of those KD diagnostic challenges. KD, a self-limiting vasculitis, can cause coronary artery aneurysms. The aim is to optimise management during the acute febrile illness to try and prevent these because a giant coronary artery aneurysm is devastating enough without thinking that it might have been prevented. The conundrum for acute paediatricians is which clinical features best distinguish the febrile child with possible KD, needing intravenous immunoglobulin, from the many other children with febrile illnesses.