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
- Kawasaki syndrome.
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
Seminars in Medical Practice
Hospital Physician Board Review Manuals
Copyright © 2009, Turner White Communications
Updated 1/04/08 kkj