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Old 09-24-2011
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Default A child with fever & peeling skin.

A 3-year-old child is admitted to the hospital. The child had high fever, peeling skin in the lower extremities, abdominal pain, and a bright red throat. Two common pediatric problems that could explain this child's condition have overlapping presenting signs and symptoms. Which of the following statements comparing these two diseases is correct?
  • The diagnosis of both is based on pharyngeal culture.
  • Cardiac complications unusual in both.
  • Diagnosis of both based on serology.
  • Treatment is antibiotic in one & in the other the management is conservative.
  • Mucocutaneous and lymph nodes involvement seen in both.
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Old 09-24-2011
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Quote:
Originally Posted by ag2011n View Post
A 3-year-old child is admitted to the hospital. The child had high fever, peeling skin in the lower extremities, abdominal pain, and a bright red throat. Two common pediatric problems that could explain this child's condition have overlapping presenting signs and symptoms. Which of the following statements comparing these two diseases is correct?
  • The diagnosis of both is based on pharyngeal culture.
  • Cardiac complications unusual in both.
  • Diagnosis of both based on serology.
  • Treatment is antibiotic in one & in the other the management is conservative.
  • Mucocutaneous and lymph nodes involvement seen in both.


I think the disease mimics scarlet fever and streptococcal scalded syndrome.
i think its diagnosis based on pharyngeal culture.
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Old 09-24-2011
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Cardiac complications in both!

To add to the previous post of confident, it could also be Kawasaki.
Anyway, scarlet fever, strep throat, Kawasaki...., whatever.., all can have cardiac complications
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Old 09-24-2011
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is it Mucocutaneous and lymph nodes involvement seen in both.

kawasaki also has to have Lymph node enlargement...
i think i'l forget half the things by exam...
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Old 09-25-2011
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So what's the correct answer?
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Old 09-25-2011
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The correct answer is: Mucocutaneous and lymph nodes involvement seen in both.
The two conditions in consideration are Kawasaki disease and scarlet fever (i.e., "strep" throat). Kawasaki disease is an acute febrile illness of unknown etiology and shares many of its clinical manifestations with scarlet fever. Scarlatiniform rash, desquamation, erythema of the mucous membranes that produces an injected pharynx and strawberry tongue, and cervical lymphadenopathy are prominent findings in both. The most serious complication of Kawasaki disease and scarlet fever is cardiac involvement.
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