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Kawasaki disease — ABFM Board MCQ

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ModeratePediatrics and adolescent medicineKawasaki diseaseABFM Board

A 4-year-old boy has 6 days of fever, bilateral nonpurulent conjunctivitis, cracked lips, swollen hands, and a polymorphous rash. Rapid strep test is negative. Which of the following is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Kawasaki disease

Prolonged fever with conjunctivitis, mucous membrane changes, extremity swelling, and rash suggests Kawasaki disease.

Reference: AAP Clinical Practice Guidelines: https://www.aap.org/en/quality-improvement/clinical-practice-guidelines/