Criteria for Recurrent Kawasaki Disease

Criteria:

(1) previous episode of Kawasaki disease

(2) new episode of Kawasaki disease

(3) at least 2 months between the onset of the previous episode and the onset of the current one

(4) exclusion of a continuation of the previous episode

Risk factors for recurrent Kawasaki disease:

(1) age < 3 years at first episode

(2) intravenous gamma globulin therapy during previous episode (risk limited to first 12 months after the initial episode)

(3) cardiac sequelae during the first episode

For some patients the second episode is worse than the first, while in others it is milder.