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Associated Symptoms of Kawasaki Disease
During Acute Phase
Kawasaki Disease also has other associated clinical features. This is due to the pan
vasculitis that occurs in these children. Gastrointestinal (GI) symptoms are not
uncommon; there could be vomiting, diarrhoea, abdominal pain, gallbladder
hydrops. Hepatitis is not common, we did have a child who presented with
jaundice, and was finally diagnosed with Kawasaki Disease. They can also present
as respiratory symptoms, not common, only about 30% in the literature. Children
are usually irritable and this is attributed to aseptic meningitis. Lumbar puncture
can show raised lymphocyte count. The patient can have sterile pyuria due to
urethritis or meatitis. Arthritis and uveitis can also be present. For infants, we
notice that in our series, the BCG inoculation site is erythematous in a high
percentage of patients, more common than the cervical lymphadenopathy which is
one of the clinical features for diagnosis. In some infants also, there are perianal
erythema and desquamation.
