Question:medium

Which of the following is NOT a feature of Kawasaki disease?

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Kawasaki conjunctivitis has no discharge - pus points away from it.
Updated On: Jun 25, 2026
  • Purulent conjunctivitis
  • Bilateral non-exudative conjunctival injection
  • Strawberry tongue and cracked lips
  • Cervical lymphadenopathy
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The Correct Option is A

Solution and Explanation

Kawasaki disease is a medium-vessel vasculitis diagnosed by prolonged fever plus a checklist: red cracked lips and strawberry tongue, a polymorphous rash, swollen then peeling hands and feet, neck node enlargement, and red eyes.

The crucial eye detail is that the redness is a $\textit{bulbar conjunctival injection without discharge}$ - it spares the limbus and produces no pus. Therefore a $\textit{purulent}$ (discharging) conjunctivitis breaks the pattern and is the finding that does not belong; it should make you think of a bacterial or other infective cause instead.

The remaining choices - non-exudative bilateral conjunctival injection, mucosal changes, and cervical adenopathy - are all bona fide criteria.

\[\boxed{\text{Purulent conjunctivitis is NOT a feature of Kawasaki disease}}\]
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