Question

2yo F with a 2wk history of DAILY FEVERS to 102 and DESQUAMATING RASH on the perineum. she has swollen HANDS and FEET, conjunctivitis and unilateral swollen cervical LN. dx? other lab findings (4)?

Answer 1

The patient's symptoms and clinical findings are consistent with Kawasaki disease, which is an acute febrile illness primarily affecting young children. The disease is characterized by fever, conjunctivitis, lips and oral cavity changes, erythema of the extremities, and cervical lymphadenopathy. Other laboratory findings may include elevated white blood cell count, elevated erythrocyte sedimentation rate, elevated liver enzymes, and sterile pyuria.

Step-by-step explanation:

The patient's symptoms and clinical findings are consistent with Kawasaki disease. Kawasaki disease is an acute febrile illness that primarily affects young children. It is characterized by fever lasting at least 5 days, conjunctivitis, changes in the lips and oral cavity, erythema of the extremities with subsequent desquamation, and cervical lymphadenopathy.

In addition to the classic clinical findings, the patient may have other laboratory findings. These can include an elevated white blood cell count, an elevated erythrocyte sedimentation rate, elevated liver enzymes, and sterile pyuria. It is also important to note that Kawasaki disease can lead to complications such as coronary artery aneurysms, so early diagnosis and treatment are crucial.