Child health · UKMLA & AKT
Kawasaki disease
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Medium-vessel vasculitis predominantly affecting children under 5. Diagnosis requires fever ≥5 days plus at least 4 of 5 CREAM features.
- Conjunctivitis - bilateral, non-exudative (no discharge)
- Rash - polymorphous (maculopapular/urticarial), widespread; never vesicular
- Erythema/oedema of hands and feet - progresses to periungual desquamation in subacute phase
- Adenopathy - unilateral cervical lymphadenopathy, nodes typically >1.5 cm
- Mucosal changes - dry cracked lips, strawberry tongue
Child appears disproportionately unwell and irritable - more toxic than expected for a viral illness. Fever is typically unresponsive to antipyretics.
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