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A 5-year-old boy presents with fever, conjunctival redness, strawberry tongue, and cervical lymphadenopathy. Kawasaki disease primarily affects which
Question

A 5-year-old boy presents with fever, conjunctival redness, strawberry tongue, and cervical lymphadenopathy. Kawasaki disease primarily affects which vessels?

A.

Large arteries (aorta, carotid)

B.

Medium-sized muscular arteries

C.

Small capillaries and venules

D.

Pulmonary arteries and veins

Correct option is B

Kawasaki disease is a medium-vessel vasculitis, classically affecting coronary arteries, leading to risk of aneurysms and sudden cardiac death.
Explanation of options: (a) Large-vessel vasculitis includes Takayasu and giant cell arteritis. (b) Correct; Kawasaki targets medium-sized arteries, especially coronaries. (c) Small-vessel vasculitis includes Henoch–Schönlein purpura. (d) Pulmonary arteries are rarely involved in Kawasaki.

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