text: Kawasaki Disease Management Strategies Given Symptoms Overlap to COVID 19 A Review Kawasaki disease is an acute self limiting vasculitis in children Early treatment is necessary to prevent cardiovascular complications The acute phase of Kawasaki disease may present with hemodynamic instability An association between viral respiratory infections and Kawasaki disease has been reported Studies have shown that Kawasaki and Kawasaki like disease may be associated with and have symptoms overlapping COVID 19 Children with COVID 19 may present as Kawasaki like disease with pediatric inflammatory multisystem syndrome or macrophage activation syndrome Clinicians need to be aware of the early diagnosis and management of Kawasaki disease to prevent the development of coronary artery aneurysms The symptoms overlap of multisystem inflammatory disease seen in COVID 19 adds to the difficulties in timely diagnosis and treatment Children with Kawasaki disease require regular follow up plans for coronary artery aneurysms This adds to the difficulties during the changed environment of COVID 19 for control and prevention Missed diagnosis and early treatment of Kawasaki disease with immunoglobulin and aspirin results in the development of coronary artery aneurysm in up to 25 of cases with grave consequences Here we briefly review the management of typical and atypical Kawasaki disease which has symptoms overlapping with the multisystem inflammatory disease as seen in COVID 19 