We often get children having fever for 2 to 7 days who also satisfy 2 or 3 criteria for kawasaki disease like conjunctival injection, oral mucosal changes, transient rash, desquamation of palms/ soles etc. But they are not very ill looking and also do not show typical lab findings like high ESR & platelet count. Echo in such children often shows minimal or mild dilatation of coronary arteries. Should they be given a diagnosis of atypical kawasaki disease and treated with IV-IG? As the size of coronary A on echo is rather a subjective finding depending on the operator, would not this result in overtreatment of manychildren having just viral exanthemic fevers? Kindly enlighten.

Sometimes one may come across situations where there may be features of Kawasaki but not typical. In that case decision will have to be taken on an individual to individual basis.