CRP > 3.0mg/dL ESR > 40 mm/hr Albumin < 3.0mg/dL Anemia for age
Elevated alanine aminotransferase and g-glutamyl transpeptidase
Platelet count > 450,000 after first week of fever
White blood cell count > 15,000/^L
Urine white blood cell count > 10 cells/hpf
Changes on echocardiogram including z score of LAD or RCA > 2.5, lack of vessel tapering, perivascular brightness, decreased LV function, mitral regurgitation, and pericardial effusion
Abbreviations: CRP, C-reactive protein; CSF, cerebrospinal fluid; ESR, erythrocyte sedimentation rate; hpf, high power field; LAD, left anterior descending coronary artery; LV, left ventricle; RCA, right coronary artery. Source: From Ref. 2.
infectious diseases. In addition, the peak incidence in infants and children less than five years of age, coupled with the rare occurrence of KD in adults and infants less than three months of age, is consistent with infection with a widely disseminated agent that causes asymptomatic infection in most hosts and the acquisition of protective immunity and passage of transplacental antibodies.
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