The diagnosis of Kawasaki disease is clinical rather than based on tests, with the Yamaguchi criteria having the highest sensitivity. The Yamaguchi criteria require at least five features including at least two major criteria such as fever for over a week, arthritis or joint pain for two weeks, and a non-itchy pink rash usually on the trunk or limbs, along with potential minor criteria including sore throat and enlarged lymph nodes.
The diagnosis of Kawasaki disease is clinical rather than based on tests, with the Yamaguchi criteria having the highest sensitivity. The Yamaguchi criteria require at least five features including at least two major criteria such as fever for over a week, arthritis or joint pain for two weeks, and a non-itchy pink rash usually on the trunk or limbs, along with potential minor criteria including sore throat and enlarged lymph nodes.
The diagnosis of Kawasaki disease is clinical rather than based on tests, with the Yamaguchi criteria having the highest sensitivity. The Yamaguchi criteria require at least five features including at least two major criteria such as fever for over a week, arthritis or joint pain for two weeks, and a non-itchy pink rash usually on the trunk or limbs, along with potential minor criteria including sore throat and enlarged lymph nodes.
The diagnosis is clinical, not based upon serology.
[6] At least seven sets of diagnostic criteria
have been devised, however the Yamaguchi criteria have the highest sensitivity. Diagnosis requires at least five features, with at least two of these being major diagnostic criteria.[7]
Major criteria Minor criteria
Fever of at least 39 °C for at least one week Sore throat Arthralgias or arthritis for at least two weeks Lymphadenopathy Nonpruritic salmon-colored rash (usually over trunk Hepatomegaly or splenomegaly or extremities while febrile) Leukocytosis (10,000/microL or greater), with Abnormal liver function tests granulocyte predominance Negative tests for antinuclear antibody and rheumatoid factor