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Kawasaki Disease (KD) - Diagnosis and Management Summary

Kawasaki Disease (KD) is the most common vasculitis of
, Hand edema, Lymphadenopathy ... Criteria - Fever ... Erythema of palms ... soles, edema of hands ... Polymorphous rash
Fever and Rash - Differential Diagnosis Framework
 • Viral: Measles, Infectious Mono (EBV, CMV), Acute HIV,
Fever and Rash - ... Differential Diagnosis ... Zoster, Coxsackie (hand ... Meningococcal meningitis, Secondary ... Noninfectious: SJS/TEN, Erythema
Drug Erruption: Extensive maculo-papular rash secondary to allergic reaction to Amoxicillin.
Chest and hand are shown above.

Charlie
maculo-papular rash ... secondary to allergic ... Chest and hand are ... #Dermatology #SkinRash ... Amoxicillin #Palms #Photo
Kawasaki Disease: Clinical Findings
Diagnostic Criteria - Fever and 4/5 of the following:
 • Conjunctivitis
 • Polymorphous
Kawasaki Disease ... Criteria - Fever ... • Polymorphous rash ... involvement • Edema/erythema ... on hands & feet
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Rash Secondary ... ) ▪ Malaise, fever ... the palms of the hands ... #Rash #Diagnosis ... #Clinical #Photo
Eczematous Skin Rash - Differential Diagnosis Algorithm
Eczematous - Pruritic/Scaly/Erythematous lesions. Usually poorly demarcated
 • Atopic Dermatitis
Eczematous Skin Rash ... Secondary to venous ... tapioca-like vesicles on hands ... Well-demarcated erythema ... #Eczematous #SkinRash
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
- Differential Diagnosis ... Irregular pustules on hands ... Generalized itchy rash ... Pustules + Fever ... Secondary syphilis
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... branches • Fever ... muscle weakness • Nerves ... • Check: HBV Kawasaki ... , mucositis • Rash
HSV Herpetic Whitlow Infection of the Finger
20 F presents with painful finger, treated w/ oral cephalexin
Diagnosis? ... oral or genital herpes ... virus into the hand ... onset of edema, erythema ... Fever and lymphadenopathy