Kawasaki disease is described as which of the following?

• A. A systemic vasculitis in children presenting with fever for more than 5 days, conjunctivitis, lymphadenopathy, mucositis, hand and foot swelling, rash, can cause coronary artery aneurysms
• B. A respiratory infection with rash
• C. A congenital heart defect
• D. A type of juvenile diabetes

Answer: (A)

Kawasaki disease is a pediatric systemic vasculitis that inflames medium-sized arteries, especially the coronary arteries. It typically presents with fever lasting at least five days plus multiple mucocutaneous findings—conjunctival injection, changes to the lips and tongue, swelling of the hands and feet, a polymorphous rash, and cervical lymphadenopathy. Because the inflammation can involve the coronary arteries, there is a risk of developing coronary artery aneurysms if not treated promptly. Early management with IVIG and high‑dose aspirin reduces this risk. This description fits Kawasaki disease, whereas a respiratory infection with rash, a congenital heart defect, or juvenile diabetes do not capture this combination of prolonged fever, specific mucocutaneous signs, and potential coronary artery involvement.