Discuss child presents with bilateral conjunctivitis


Problem: An 8-year-old child presents with bilateral conjunctivitis, a "strawberry tongue," and lip fissures. He has been febrile for 5 days without an evident source of infection. An exam reveals periungual desquamation and swelling in the fingers with a polymorphous rash. Which of the following is true of the most likely diagnosis? A. Prednisone can decrease the rate of coronary artery aneurysms in high-risk patients. B. Bilateral suppurative posterior cervical adenopathy is required for the diagnosis of Kawasaki disease. C. Ibuprofen may be used for symptomatic relief. D. Carditis is one of the diagnostic criterion. E. Cardiac catheterization is the first-line treatment for thrombosis and acute coronary artery occlusion.

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