Atypical Kawasaki Syndrome

The diagnostic criteria for Kawasaki disease are:

Fever for 5 days or more, plus

4 out of 5 of:

  • polymorphous rash
  • bilateral (non purulent) conjunctival injection
  • mucous membrane changes, e.g. reddened or dry cracked lips, strawberry tongue, diffuse redness of oral or pharyngeal mucosa
  • peripheral changes, e.g. erythema of the palms or soles, oedema of the hands or feet, and in convalescence desquamation
  • cervical lymphadenopathy (> 15 mm diameter, usually unilateral, single, non purulent and painful)
  • Source:





Jared La Corte MD  Pediatric Cardiology
Medical School : Albany Medical College
Fellow-Pediatric Cardiology : Children's Hospital of New York-Columbia Presbyterian Medical Center