Table 1: Diagnostic criteria for Kawasaki disease. Four of these five plus a fever of more than 5 days confirms the diagnosis of KD [2].




Bilateral, painless, non exudative


Cervical, usually more than 1.5 cm, more commonly unilateral

Skin rash

Commonly maculopapular

Mucosal changes

Red, cracked lips, glossitis with hyperplastic fungiform, papillae seen as strawberry tongue, diffuse erythema of the oral mucosa or oropharynx

Changes of extremities

Initial stage: Erythema and oedema of palms and soles.

Convalescent stage: Peeling of skin from fingertips