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American Academy of Pediatrics
Experience and Reason

Lymphadenitis as the Dominant Manifestation of Kawasaki Disease

Julie Kim Stamos, Kathleen Corydon, James Donaldson and Stanford T. Shulman
Pediatrics March 1994, 93 (3) 525-528;
Julie Kim Stamos
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Kathleen Corydon
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James Donaldson
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Stanford T. Shulman
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Abstract

Kawasaki disease (KD) is an acute febrile illness primarily affecting infants and young children. Its importance relates to the fact that 20% to 25% of untreated patients develop coronary abnormalities that can lead to myocardial infarction or even to death.1 KD is a leading cause of acquired heart disease in children in many regions, including the United States.2 Because there are no specific diagnostic tests for KD, the diagnosis is established by the presence of fever and four of five criteria without other explanation for the illness: (1) nonexudative conjunctival injection; (2) oral mucosal changes; (3) changes of the peripheral extremities; (4) rash, primarily truncal; and (5) cervical lymphadenopathy.

  • Received June 28, 1993.
  • Accepted October 17, 1993.
  • Copyright © 1994 by the American Academy of Pediatrics
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Pediatrics
Vol. 93, Issue 3
1 Mar 1994
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Lymphadenitis as the Dominant Manifestation of Kawasaki Disease
Julie Kim Stamos, Kathleen Corydon, James Donaldson, Stanford T. Shulman
Pediatrics Mar 1994, 93 (3) 525-528;

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Lymphadenitis as the Dominant Manifestation of Kawasaki Disease
Julie Kim Stamos, Kathleen Corydon, James Donaldson, Stanford T. Shulman
Pediatrics Mar 1994, 93 (3) 525-528;
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  • Delayed Diagnosis of Kawasaki Syndrome: An Analysis of the Problem
  • Ultrasonographic Evaluation of Cervical Lymph Nodes in Kawasaki Disease
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  • Cervical Lymphadenitis as the Presenting Sign of Kawasaki Disease
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