Kawasaki disease symptoms appear in phases.
Signs and symptoms of the first phase may include:
- Fever which often is higher than 102.2 F (39 C) and lasts more than five days
- Extremely red eyes (conjunctivitis) without a thick discharge
- A rash on the main part of the body (trunk) and in the genital area
- Red, dry, cracked lips and an extremely red, swollen tongue (strawberry tongue)
- Swollen, red skin on the palms of the hands and the soles of the feet
- Swollen lymph nodes in the neck and perhaps elsewhere
In the second phase of the disease, your child may develop:
- Peeling of the skin on the hands and feet, especially the tips of the fingers and toes, often in large sheets
- Joint pain
- Abdominal pain
In the third phase of the disease, signs and symptoms slowly go away unless complications develop. It may be as long as eight weeks before energy levels seem normal again.
When to see a doctor
If your child has a fever that lasts more than four days, contact your child's doctor. Or see your child's doctor if your child has a fever along with four or more of the following signs and symptoms:
- Redness in both eyes
- A very red, swollen tongue
- Redness of the palms or soles
- Skin peeling
- A rash
- Swollen lymph nodes
Treating Kawasaki disease within 10 days of its onset may greatly reduce the chances of lasting damage.
Feb. 15, 2014
- Kawasaki disease. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/pediatrics/miscellaneous_disorders_in_infants_and_children/kawasaki_disease.html. Accessed Aug. 19, 2013.
- Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed Aug. 192013.
- Scuccimarri R. Kawasaki disease. Pediatric Clinics of North America. 2012;59:425.
- Ayusawa M, et al. Revision of diagnostic guidelines for Kawasaki disease (the 5th revised edition). Pediatrics International. 2005;47:232.
- Newburger JW, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: A statement for health professionals from the Committee on Rheumatic Fever, Endocarditis and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association. Circulation. 2004;110:2747.
- Sundel R. Initial treatment and prognosis of Kawasaki disease. http://www.uptodate.com/home. Accessed Aug. 19, 2013.
- Taggart NW (expert opinion). Mayo Clinic, Rochester, Minn. Sep. 9, 2013.