A 2 year old child with rash and fever

doi:10.1136/bmj.327.7420.916

BMJ 2003;327:916 (18 October), doi:10.1136/bmj.327.7420.916

Clinical review

Interactive case report

A 2 year old child with rash and fever

Rita Sharma, clinical lecturer¹, Andrew Boon, consultant paediatrician², Anthony Harnden, university lecturer¹

¹ Department of Primary Health Care, Institute of Health Sciences, Oxford OX3 7LF, ² Royal Berkshire Hospital, Reading RG1 5AN

Correspondence to: A Harnden anthony.harnden@dphpc.ox.ac.uk

The first 150 words of the full text of this article appear below.

Strawberry tongue of child withKawasaki disease: changes to the oral mucosa are a common feature

Credit:JKI

Four weeks ago (BMJ 20 September, p 668) we published the caseof Elisabeth. Seventeen days after developing a fever and rashthe skin fell off her fingers and toes and she was seen by apaediatrician. The paediatrician thought she might have Kawasakidisease. He discussed the case with a paediatric cardiologistand, because she had been ill for 17 days, decided not to giveher intravenous immunoglobulins. Two days later she was seenby the paediatric cardiologist. Her echocardiogram was normal.The merits of giving low dose aspirin were discussed with Elisabeth'sparents. Given her father's history of anaphylaxis, she wasgiven a test dose. There were no adverse effects, and she wasdischarged home taking 50 mg of aspirin daily. At her threemonth follow up her . . . [Full text of this article]

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