Rash

A diffuse maculopapular erythematous rash, primarily involving the trunk and extremities, usually appears within five days of fever onset. Accentuation in the groin with early desquamation is a characteristic feature.

Figure 10 Diffuse maculopapular erythematous rash involving the trunk and forearms 13
Figure 11 Diffuse maculopapular erythematous rash involving the back 11
Figure 12 diffuse erythematous rash with accentuation in the groin 11

Bullous, vesicular, and petechial rashes are not consistent with Kawasaki disease and should prompt a search for an alternative diagnosis.