other features

Last reviewed 03/2022

Cardiovascular:

  • pancarditis and coronary arteritis
  • auscultation reveals gallop rhythm and distant heart sounds
  • the ECG shows variable PQ, long QT, changes in the ST and T waves, arrhythmias
  • coronary artery aneurysms - these are sufficient to confirm the diagnosis if only four major criteria are present

Gastrointestinal tract:

  • diarrhoea in 35%
  • abdominal pain with gallbladder involvement
  • jaundice in 5%

Blood:

  • leukocytosis
  • increased ESR, CRP and platelet count
  • decreased albumin and red cell count

Urinary tract:

  • transient albuminuria

Joints:

  • arthralgia in 25% of cases

Nervous system:

  • aseptic meningitis in 25 to 50% of cases