4/5/2023 0 Comments Strawberry tongue![]() Allergic/contact dermatitis-Often localized to areas of contact prominent pruritus and skin vesicles often in linear streaks (see Chapter 145, Atopic Dermatitis and Chapter 146, Contact Dermatitis).The initial echocardiogram should be performed as soon as the diagnosis is suspected to establish a baseline for longitudinal follow-up of coronary artery morphology, left ventricular and left valvular function, and the evolution and resolution of pericardial effusion when present. If Kawasaki disease is suspected, two-dimensional echocardiography or angiography is obtained to detect coronary artery abnormalities.Acute phase reactants (C-reactive protein and erythrocyte sedimentation rate ) may be elevated, and may be useful in monitoring nonsuppurative complications such as rheumatic fever.Antistreptolysin- O titer is obtained to confirm prior infection or support suspected poststreptococcal complication, such as rheumatic fever.Elevated platelet count-Seen with Kawasaki disease (after 1 week).Elevation of white blood cell count with left shift.Complete blood count (CBC), if indicated, to look for:.Throat swab for rapid strep testing (screening) and/or culture (confirmation) is usually performed. ![]()
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