Kawasaki's disease or syndrome is characterized by fever bilateral conjunctivitis, oral mucosal fissures, erethema of and scaling and fissures of palms and soles. Later there is multisystem involvement including a carditis and vasculitis.
TSS caused by staph and group A beta hemolytic strep due to tampons infected, or surgical wounds and other possible sources gives a florid ubiquitous rash, fever, hypotension, confusion and septic features.
the rash of scarletina is sandpaper like, there are Pastia lines in the elbow creases and circumoral pallor, it occurs in the setting of a strep infection and can lead to heart disease.
Henoch Shoenlein Purpura is a rash of childhood consisting of purpura from the waist down. Renal problems may ensue. GI bleeding is an occasional feature which may precede the rash by six weeks.
child with HEMATURIA, ABDOMINAL PAIN, a history of MIGRATORY POLYARTHRITIS, PALPABLE TENDER PURPURIC RASH o bottom an LE's.
be on guard for development of GI bleed, intusussception, abdominal pain, renal insufficiency.