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Kawasaki disease — MCCQE Part 1 MCQ

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ModerateChild with FeverKawasaki diseaseMCCQE Part 1

A 5-year-old girl has fever x 4 days, bilateral non-exudative conjunctivitis, strawberry tongue, polymorphous rash, hand/foot oedema, and a 2cm cervical lymph node. Most appropriate treatment?

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Correct answer: A — IVIG plus high-dose ASA

Kawasaki disease (>=5d fever + >=4/5 criteria). CPS: IVIG 2g/kg + high-dose ASA. IVIG within 10 days reduces coronary aneurysm risk from 25% to <5%. Echo essential. Only paediatric condition where ASA recommended.

Reference: CPS Kawasaki Disease