What does the acronym "CRASH" stand for in Kawasaki disease presentation?

The acronym "CRASH" in the context of Kawasaki disease specifically refers to the characteristic clinical features of the condition. It stands for Conjunctivitis, Rash, Adenopathy, Strawberry tongue, and Hand and feet swelling.

Kawasaki disease is a significant pediatric condition that primarily affects children and is characterized by prolonged fever and a range of additional symptoms. The components of the acronym relate directly to the common presentations seen in affected patients.

Conjunctivitis refers to the inflammation of the conjunctiva, which is commonly seen in Kawasaki disease, along with a generalized rash that can cover much of the body. Adenopathy refers to lymphadenopathy, particularly cervical lymphadenopathy, which is noted as a prominent feature. Strawberry tongue describes the reddened appearance of the tongue with prominent papillae, which is a classic sign in Kawasaki disease. Finally, the swelling of the hands and feet is commonly seen in these patients, often in conjunction with the other symptoms mentioned.

Understanding these key features is essential for recognizing Kawasaki disease early and initiating appropriate treatment to reduce the risk of serious complications, such as coronary artery aneurysms. The alternative choices do not accurately capture the hallmark features of Kawasaki disease, which is why they do not represent the "CRASH