Kawasaki disease

• Facts:
  Acute vasculitis of medium sized arteries
  Primarily affects young children (80% < 5yo)
  DIvided into acute, subacute, and chronic phases
  
• Treatment:
  High dose ASA, continue low dose ASA for six weeks
  IVIG (to prevent aneurysms)
  Only use steroids in IVIG refractory cases
  Refer to pediatric cardiologist
• Complications:
  Coronary artery aneurysms (if untreated)
• Pneumonic:
  CRASH and BURN
  
  Conjunctivitis
  Rash
  Adenopathy
  Strawberry tongue
  Hands and feet (red, swollen, flaky skin)
  
  BURN (fever > 40C for > 5 days)
• Differential Diagnosis:
  Scarlet fever (shorter duration, rapid response to penicillin)