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Kawasaki Disease
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PROTOCOL FOR THE CASE REPORT OF KAWASAKI DISEASE
HOSPITAL :
NAME :
SEX :
Male
Female
AGE :
ADDRESS :
PHONE NUMBER :
E-MAIL :
REPORTING DOCTOR :
TYPICAL KD
ATYPICAL
ENCIRLE THE QUESTIONARE ANSWERS
DIAGNOSTIC CRITERIA
FEVER Persisting for at least 5 days
Yes
No
PRINCIPAL CLINICAL FINDINGS
• Bilateral conjunctiva injection.
Yes
No
• Acute cervical lymphadenopathy (unilateral/bilateral/firm/ slightly tender with a diameter of 1.5cm)
Yes
No
• Strawberry tongue, oropharyngeal erythema, redness and cracking of lips (ulcerative lesions not seen)
Yes
No
• Polymorphic exanthema: - erythematous maculopapular rash, starting with red palms and soles and moving to the trunk /urticarial exanthem ( bullae and vesicles are not seen)
Yes
No
• Red, swollen, indurated hands and feet and later desquamation of hands and feet after 1-3 weeks.
Yes
No
CORONARY ARTERY INVOLVEMENT
Yes
No
ENROLEMENT CRITERIA
Fever + 4/5 Principal criteria
Fever plus 3/5 principal criteria plus Coronary artery dilatation
Referred cases received IVIG and aspirin within10days after onset
OTHER CLINICAL FINDINGS IN KAWASAKI DISEASE
Yes
No
Hydrops of gall bladder
Aseptic meningitis
Myocarditis
Pericardial effusion
PAST HISTORY OF ILLNESS:
CHD
Previous attack of KD
LAB INVESTIGATIONS
Hb :
WBC :
L
E
Platelets
CRP :
Urinary pus cells :
Other Essential lab data
