TY - JOUR T1 - Fifteen-minute consultation: Kawasaki disease: how to distinguish from other febrile illnesses: tricks and tips JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed SP - 152 LP - 156 DO - 10.1136/archdischild-2019-316834 VL - 105 IS - 3 AU - Alison Kelly AU - Katie Sales AU - Mary Fenton-Jones AU - Robert Tulloh Y1 - 2020/06/01 UR - http://ep.bmj.com/content/105/3/152.abstract N2 - 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. ER -