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Pediatrics C.V.S f2b6bac0

3 years old boy with a history of fever from a week has diffuse faint rashes, erythema of palms and soles, enlarged unilateral cervical nodes and strawberry tongue. The diagnosis is __________

A
Scarlet fever
B
Erythema infectiosum
C
Infectious mononucleosis
D
Kawasaki disease
High-Yield Explanation
Kawasaki disease - It is acute febrile mucocutaneous lymph node syndrome affecting infant, children and young. The diagnostic criteria for Kawasaki disease are follow. Fever lastingfor atleast 5 days Presence of any 4 of the following 5 conditions. Bilateralnonpurulent conjunctival injection Changes in mucosa of oropharynx ( injected pharynx, injected lips , strawberry tongue ) Changes of peripheral extremities (edema, erythemaof hands or feet , desquamation ) Polymorphous rash Cervical lymphadenopathy Ref : Ghai pediatrics eighth edition pg no 631 ,632

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