A toddler has been admitted with suspected Kawasaki's disease. A serious complication associated with Kawasaki's disease is: A. Periungual desquamation B. Bilateral conjunctival injection C. Coronary aneurysm D. Strawberry tongue

Short Answer

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Answer: Coronary aneurysm.

Step by step solution

01

Option A: Periungual desquamation

Periungual desquamation refers to the peeling of the skin around the nails, which can be a sign of Kawasaki's disease. However, this symptom is not considered a serious complication, so this option is not correct.
02

Option B: Bilateral conjunctival injection

Bilateral conjunctival injection refers to the redness in both eyes (conjunctiva) due to inflammation, often found in Kawasaki's disease. However, this symptom is also not considered a serious complication. Therefore, this option is incorrect.
03

Option C: Coronary aneurysm

Coronary aneurysm is a dilatation of a segment of a blood vessel, especially in the coronary arteries, which can be a serious and potentially life-threatening complication of Kawasaki's disease. This complication may lead to heart attacks, heart failure, or other heart problems in the long-term if left untreated. This answer is the most appropriate as it highlights a serious complication associated with Kawasaki's disease.
04

Option D: Strawberry tongue

Strawberry tongue refers to a red, bumpy tongue often found in patients with Kawasaki's disease. While this symptom can be uncomfortable and a sign of the disease, it is not considered a serious complication. So, this option is not correct. Considering the analysis for each option, the correct answer is: C. Coronary aneurysm

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