Kawasaki Disease, AKA Mucocutaneous Lymph Node Syndrome, is one of the most common vasculitides of childhood. The hallmark is fever ≥5 days plus 4/5 of the following; mucous membrane changes, conjunctivitis, polymorphous rash, extremity changes and lymph node enlargement. It can also lead to coronary artery aneurysms, which is why its so important to make an accurate diagnosis.
You will see Henoch-Schönlein Purpura at some point in the ED. Knowing how to work it up, and how to treat the symptoms are important naturally. Read on for more.
You see a kid that you're pretty sure has Henoch Schonlein Purpura (HSP). OK, you're certain 'cause they have the rash and EVERYTHING. They aren't hypertensive, and their urine is normal. They have belly pain, but no currant jelly stools, and they don't have intussusception [...]