Incomplete Kawasaki disease

The diagnosis of Kawasaki disease in a child with fever and only 2 or 3 of its five principal features, supported by laboratory findings or coronary changes on echocardiography.

Criteria not met

1 fever + 2 principal + 3 support, or 1 fever + 2 principal + 1 echo

Fever0 of 1

Fever for at least 5 days

Principal clinical features0 of 5

Bilateral conjunctival injection without exudate
Changes of the lips and oral cavity
Polymorphous rash
Erythema and edema of the hands and feet
Cervical lymphadenopathy

Supportive laboratory criteria0 of 6

Anemia for age
Platelet count 450,000/mm3 or more after day 7
Albumin 3.0 g/dL or less
Raised ALT
White cell count 15,000/mm3 or more
10 or more white cells per high-power field on urinalysis

Echocardiography0 of 1

Coronary artery changes on echocardiography

Educational use only. Guideline: AHA scientific statement, 2017. Source: McCrindle BW, et al. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement From the AHA. Circulation. 2017. https://doi.org/10.1161/CIR.0000000000000484; Yu JJ. Diagnosis of incomplete Kawasaki disease. Korean Journal of Pediatrics. 2012. https://pmc.ncbi.nlm.nih.gov/articles/PMC3315623/.

Card id: incomplete-kawasaki-disease

Sources

McCrindle BW, et al. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement From the AHA. Circulation. 2017. https://doi.org/10.1161/CIR.0000000000000484
Yu JJ. Diagnosis of incomplete Kawasaki disease. Korean Journal of Pediatrics. 2012. https://pmc.ncbi.nlm.nih.gov/articles/PMC3315623/

Reviewed 3 Oct 2026

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