Page 77 - Living-on-the-frontline-of-COVID-19-in-MCO-and-CMCO

Classification of Kawasaki Disease

If the patient satisfied all the criteria (fever, persisting for 5 or more days AND 4 out

of the 5 principal clinical features present), then we classify the patient as having
Classic Kawasaki Disease. In the absence of all clinical features, this patient would

be classified as incomplete Kawasaki Disease. If the patient has abnormal or
unusual clinical features, and we think that he or she has Kawasaki Disease (no
other causes of fever could be found), then we will classify this patient as atypical

Kawasaki Disease. Usually in this group of patients, the coronary arteries are
usually involved to help in the diagnosis. We have diagnosed some of the atypical

cases as Kawasaki Disease Shock Syndrome (KDSS).