Kawasaki disease: The importance of prompt recognition and early referral

Abstract

Background Kawasaki disease is an acute, febrile vasculitis of childhood that affects medium sized arteries, particularly the coronary arteries. Consequently, it is the leading cause of paediatric-acquired heart disease in developed countries. It is important to have a high index of suspicion for Kawasaki disease in any child with prolonged fever of unknown origin and to refer to a paediatric facility promptly, as timely treatment reduces coronary artery damage. Objective To provide an evidence based review that will help guide the safe and timely recognition, referral and management of typical and incomplete Kawasaki disease. Discussion Kawasaki disease is most common in children aged 6 mon..