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10.1080/1744666X.2021.1847643

http://scihub22266oqcxt.onion/10.1080/1744666X.2021.1847643
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33152254!ä!33152254

suck abstract from ncbi


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pmid33152254      Expert+Rev+Clin+Immunol 2020 ; 16 (12): 1205-1215
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  • The wide spectrum of Kawasaki-like disease associated with SARS-CoV-2 infection #MMPMID33152254
  • Berardicurti O; Conforti A; Ruscitti P; Cipriani P; Giacomelli R
  • Expert Rev Clin Immunol 2020[Dec]; 16 (12): 1205-1215 PMID33152254show ga
  • Introduction: On June 2020, the first case of concurrent Covid-19 and Kawasaki disease (KD) was published. After this first description, further works reported new cases of children affected by KD and KD-like syndrome after SARS-CoV-2 infection. The clinical and biochemical features of these patients differed from the historical cohorts of KD, suggesting the possibility of a new multi-systemic inflammatory syndrome. Is still unclear if this new clinical entity, often referred as pediatric inflammatory multisystem syndrome (PIMS) or multi-system inflammatory syndrome in children (MIS-C), could be considered as part of the KD spectrum or is a new disease with different pathogenic mechanisms and uniquely linked to SARS-CoV-2 infection. The authors searched the available literature in MedLine (via Pubmed) with the terms ('coronaviruses' OR 'coronavirus') AND ('Kawasaki disease') for English studies without any temporal limit. Areas covered: This review aims to comprehensively describe multisystem inflammatory syndromes affecting children during Coronaviruses outbreak, and to evaluate the possible pathogenic role of human Coronaviridae in KD and KD-like syndromes. Expert opinion: An increased incidence of PIMS-TS, during the Covid-19 pandemic has been reported, suggesting that SARS-CoV-2 may trigger a severe hyper-inflammatory syndrome in childhood. The pathophysiological mechanisms of this disease are still unclear. Based on these findings, SARS-CoV-2 may be considered another trigger in the complex mosaic about the relationship among infectious agents and the occurrence of systemic hyper-inflammation related syndromes.
  • |*COVID-19/epidemiology/immunology/pathology[MESH]
  • |*Mucocutaneous Lymph Node Syndrome/epidemiology/immunology/pathology[MESH]
  • |*Pandemics[MESH]
  • |*Systemic Inflammatory Response Syndrome/epidemiology/immunology/pathology[MESH]
  • |Child[MESH]
  • |Humans[MESH]


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