What are the physical exam findings in Kawasaki disease?

Updated: Jul 29, 2018
  • Author: Tina K Sosa, MD; Chief Editor: Russell W Steele, MD  more...
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Because no specific test can be performed for KD and no clinical feature is pathognomonic, the diagnosis of KD is based on the presence of a constellation of clinical findings which may or may not be present at the time of physical exam. [7, 46, 57, 49, 3] ​. This is due to the highly variable presence and time course of the signs and symptoms of KD. This is particularly true for incomplete KD.

Representative photographs of some of the principal clinical features are provided below:

Kawasaki disease: Patchy generalized macular eryth Kawasaki disease: Patchy generalized macular erythema, which is also typical of some viral exanthems.
Kawasaki disease: Peeling and erythema of the fing Kawasaki disease: Peeling and erythema of the fingertips.
Kawasaki disease: Strawberry tongue. Kawasaki disease: Strawberry tongue.


For more information on features of this illness, see the Medscape Reference articles Dermatologic Manifestations of Kawasaki Disease and Ophthalmologic Manifestations of Kawasaki Disease.

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