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Kawasaki disease — USMLE Step 3 MCQ

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EasyPediatrics (well-child, chronic management)Kawasaki diseaseUSMLE Step 3

A 4-year-old boy has fever for 6 days, bilateral nonpurulent conjunctivitis, cracked lips, strawberry tongue, swollen hands, and cervical lymphadenopathy. He has a polymorphous rash. There is no cough or exudative pharyngitis. Which of the following is the most likely diagnosis?

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Correct answer: EKawasaki disease

Prolonged fever with mucocutaneous inflammation, extremity changes, rash, and lymphadenopathy is Kawasaki disease.

Reference: AHA Kawasaki disease scientific statement: https://www.heart.org/