Kawasaki disease (KD) is a systemic vasculitis mostly affecting medium-sized arteries. Main symptoms include fever, conjunctivitis, skin and mucous membrane affection, and cervical lymphadenopahty. KD begins with acute-onset high fever, reduced general condition and frequently reduced cooperativity of children which can complicate physical examination. Further symptoms include generalized polymorphic exanthema (>90%), palmoplantar erythema (80%), symmetric non purulent conjunctivitis (80–90%), usually unilateral cervical lymphadenopathy (>1.5 cm; 50%), and mucosal enanthema with red and/or chapped lips (80–90%). A female patient of 8 months and weight 10.2kg was bought to the hospital on 17/1/2020 with the complaints of prolonged high grade fever since last 10 days, previously the baby was treated with antibiotics but the fever was not subsided. On further evaluation the child was diagnosed with KD and symptomatic treatment given along with standard immunoglobulin and aspirin. Patient was treated well and discharged. Keywords: Kawasaki ,medium sized articles, chapped lips, fever
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