Extremities

Kawasaki Disease Principal clinical features Extremities

Erythema, and sometimes painful brawny oedema of the palms and soles, often occurs in the acute phase. Desquamation of the fingers and toes usually begins in the periungual region between 10-21 days after the onset of fever and may extend to involve the palms and soles.

*Figure 13 Erythematous and oedematous palms¹¹*

*Figure 14 Bilateral maculopapular erythethemous rash on dorsum of feet¹¹*

*Figure 15 Desquamation of the fingers in the periungual region¹²*

The absence of skin peeling does not exclude Kawasaki disease.

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