Clinical Feature |
Unusual Characteristics/Notes |
Fever for ≥ 5 days |
|
Cervical Lymphadenopathy |
|
Oral Changes |
|
Rash |
|
Conjunctival Injection |
|
Extremity Changes |
|
Aseptic Meningitis |
|
Gallbladder hydrops (10%) Diarrhoea (20%) Hepatitis Pancreatitis |
|
Myositis Arthralgia and Arthritis (30%) |
|
Urethritis or Meatitis |
|
Aneurysmal arteries |
|
Pro-inflammatory state |
|
Investigation |
Expected Findings |
Additional Notes |
Hb |
|
|
WCC |
|
|
Platelets |
|
|
CRP |
|
|
ESR |
|
|
Ferritin |
|
|
LFTs & U&Es |
|
|
Blood Culture |
|
|
ASOT Anti-DNase B Bacterial Throat Swab for respiratory viruses including enterovirus |
|
|
Urine dip and micro |
|
|
Investigation |
Additional Notes |
C3/C4 ANA / ANCA Ferritin |
|
EBV serology CMV serology Parvovirus serology Measles PCR |
|
Mycoplasma titres |
|
Stool for enterovirus |
|
Abdominal USS |
|
CXR |
|
LDH, VMAs etc |
|
Classification of Coronary Artery |
Size of Coronary Artery Abnormality |
Dilated CA |
Z score >2 to <2.5 |
Small aneurysm |
Z score ≥ 2.5 to < 5 |
Medium aneurysm |
Z score ≥5 to <10 and absolute diameter <8mm |
Giant aneurysm |
Z score ≥ 10 or absolute diameter of ≥8mm |
Document Version:
2.0 Lead Author: Dr Sanjay Patel, Infectious Disease Consultant, UHS Additional Authors: Dr Norah Yap, Paediatric cardiology SpR Dr Tara Bharucha, Consultant Paediatric Cardiologist, UHS Dr Alan Magee, Consultant Paediatric Cardiologist, UHS Dr Nick Hayes, Consultant Paediatric Cardiologist, UHS Dr Alice Leahy, Consultant Paediatric Rheumatology, UHS Dr Roy Sievers, Consultant Paediatrician, QAH |
Approving Network:
Wessex Paediatric Infectious Disease Network Wessex Paediatric Rheumatology Network Date of Approval: November 2021 Review Due:
November 2024 |
PIER Contact |
|