Kawasaki disease include: (mucocutaneous lymph node syndrome)
Definition : Kawasaki disease is a vasculitis of medium-sized arteries that affects very young children (usually 12-24 months of age).
cause is unknown
Features:
1. Fever more than 5 days - even after aspirin
2. Bilateral conjunctivitis
3. Lymphadenopathy
4. Cutaneous involvement
1. Oropharyngeal: Erythema of the palatine mucosa, fissured erythematous lips, “strawberry” tongue
2. Peripheral extremities: Edema of hands and feet, erythema of palms and soles, desquamation of the fingertips (periungual)
3. Generalized rash: Polymorphous (usually urticarial) erythematous rash beginning on the extremities and moving to the trunk (centri petal spread)
Complication: Formation of coronary artery aneurysms is the most serious complication of Kawasaki disease.
Scarlet fever :
Causes : Streptococcus pyogenes (group A streptococci) --Toxigenic
Features:
scarlet rash with Sand paper like texture ,circumoral pallor.
Tonsillar exudates, Spares the palms and soles
Complication: Septic complications
Aspirin helps to reduce fever , Amoxicillin and throat culture
Similarity : ''Strawberry tongue''
Definition : Kawasaki disease is a vasculitis of medium-sized arteries that affects very young children (usually 12-24 months of age).
cause is unknown
Features:
1. Fever more than 5 days - even after aspirin
2. Bilateral conjunctivitis
3. Lymphadenopathy
4. Cutaneous involvement
1. Oropharyngeal: Erythema of the palatine mucosa, fissured erythematous lips, “strawberry” tongue
2. Peripheral extremities: Edema of hands and feet, erythema of palms and soles, desquamation of the fingertips (periungual)
3. Generalized rash: Polymorphous (usually urticarial) erythematous rash beginning on the extremities and moving to the trunk (centri petal spread)
Complication: Formation of coronary artery aneurysms is the most serious complication of Kawasaki disease.
Scarlet fever :
Causes : Streptococcus pyogenes (group A streptococci) --Toxigenic
Features:
scarlet rash with Sand paper like texture ,circumoral pallor.
Tonsillar exudates, Spares the palms and soles
Complication: Septic complications
Aspirin helps to reduce fever , Amoxicillin and throat culture
Similarity : ''Strawberry tongue''
