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Dental Nutrition and Metabolic disorders,Systemic conditions ,Genodermatoses, Connective tissue disorders,Photodermatoses 906e1883

A 3-year-old boy is brought by his mother because he had a high fever for the past week. Physical examination reveals bilateral injected conjunctivae, palmar erythema, oral mucositis, cervical lymphadenopathy, and solar erythema. What is the most likely diagnosis?

A
Erysipelas
B
Scarlet fever
C
Mucocutaneous lymph node syndrome
D
Meningococcemia
High-Yield Explanation
Kawasaki disease (Mucocutaneous lymph node syndrome) Kawasaki disease is MC in children 6 months-5 years. C/F Fever lasting > 5 days, Erythematous rash, Edema in the conjunctivae, lips, and mouth ("strawberry tongue") Palmar and solar erythema Cervical lymphadenitis Mucositis. Note: Syphilis, Rocky Mountain spotted fever, Meningococcemia and Coxsackie virus A infection can also present as palmar and solar erythema.

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