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Kawasaki disease — USMLE Step 3 MCQ

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

A 3-year-old boy has 6 days of fever, bilateral nonpurulent conjunctivitis, cracked lips, strawberry tongue, polymorphous rash, and swelling of the hands. Rapid strep testing is negative. Which of the following is the most likely diagnosis?

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Correct answer: EKawasaki disease

Prolonged fever with mucocutaneous findings and extremity changes is characteristic of Kawasaki disease.

Reference: AHA Kawasaki Disease Scientific Statement