Emergency Medicine

Answer 5 Kawasaki syndrome. Diagnostic criteria for Kawasaki syndrome include the presence of fever for at least 5 days and the presence of 4 of the following 5 signs: bilateral conjunctival injection, changes in the mucous membranes of the upper respiratory tract, changes in the peripheral extremities, a characteristic rash, and cervical lymphadenopathy. Staphylococcal scalded skin syndrome is seen most commonly in infants and young children. In this syndrome, the infecting organism produces an exotoxin that causes cleavage of the skin between the dermis and epidermis. Stevens-Johnson syndrome, also known as bullous erythema multiforme, is a systemic disorder associated with large epidermal and mucous membrane lesions. Streptococcal scarlet fever is an exanthem that occurs as a result of an erythrogenic toxin excreted by streptococci. Systemic lupus erythematosus is an autoimmune disease that has a wide spectrum of clinical presentation. SUGGESTED READING 1. Zitelli BJ, Davis HW, editors. Atlas of pediatric physical diagnosis. 3rd ed. St. Louis: Mosby-Wolfe; 1997. Click here to return to the questions

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