Paediatrics · Cardiology · Rheumatology
Kawasaki Disease Diagnostic Criteria calculator
Enter the published formula inputs below to calculate and interpret this score.
Clinical inputs
Allowed range: 0–21 days
Allowed range: 0–40 mg/dL
Allowed range: 0–150 mm/h
Result
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Clinical inputs
- Days of feverAccepted range: 0 to 21
- Bilateral bulbar conjunctival injection
- Oral mucosal changes: cracked lips, strawberry tongue, or pharyngeal injection
- Extremity changes: erythema or edema of the hands or feet, or periungual desquamation
- Polymorphous rash
- Cervical lymphadenopathy of at least 1.5 cm, usually unilateral
- C-reactive protein (CRP) (mg/dL)Accepted range: 0 to 40
- Erythrocyte sedimentation rate (ESR) (mm/h)Accepted range: 0 to 150
- Anemia for age
- Platelet count ≥450,000/mm³ after 7 days of fever
- Hypoalbuminemia (albumin ≤3.0 g/dL)
- Elevated ALT
- White-cell count ≥15,000/mm³
- Sterile pyuria (≥10 white cells per high-power field)
- Echocardiogram with coronary artery involvement
Primary source
McCrindle BW et al. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement From the American Heart Association. Circulation. DOI: 10.1161/CIR.0000000000000484. PMID: 28356445. Complete Kawasaki disease is fever for at least 5 days plus at least 4 of the 5 principal clinical criteria. Incomplete disease is fever for at least 5 days, 2 or 3 criteria, CRP ≥3.0 mg/dL or ESR ≥40 mm/h, and at least 3 supplemental laboratory criteria or a positive echocardiogram. (2017)
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