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10.1093/rheumatology/keab026

http://scihub22266oqcxt.onion/10.1093/rheumatology/keab026
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33493353!7928644!33493353
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suck abstract from ncbi


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pmid33493353      Rheumatology+(Oxford) 2021 ; 60 (10): 4530-4537
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  • Delineating phenotypes of Kawasaki disease and SARS-CoV-2-related inflammatory multisystem syndrome: a French study and literature review #MMPMID33493353
  • Cherqaoui B; Kone-Paut I; Yager H; Bourgeois FL; Piram M
  • Rheumatology (Oxford) 2021[Oct]; 60 (10): 4530-4537 PMID33493353show ga
  • OBJECTIVE: To better define the clinical distinctions between the new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-related paediatric inflammatory multisystem syndrome (PIMS) and Kawasaki disease (KD). METHODS: We compared three groups of patients: group 1, cases from our national historic KD database (KD-HIS), before the SARS-CoV-2 pandemic; group 2, patients with KD admitted to an intensive care unit (KD-ICU) from both our original cohort and the literature, before the SARS-CoV-2 pandemic; and group 3, patients with PIMS from the literature. RESULTS: KD-HIS included 425 patients [male:female ratio 1.3, mean age 2.8 years (s.d. 2.4)], KD-ICU 176 patients [male:female ratio 1.3, mean age 3.5 years (s.d. 3.1)] and PIMS 404 patients [male:female ratio 1.4, mean age 8.8 years (s.d. 3.7)]. As compared with KD-HIS patients, KD-ICU and PIMS patients had a higher proportion of cardiac failure, digestive and neurological signs. KD-ICU and PIMS patients also had a lower frequency of typical KD-mucocutaneous signs, lower platelet count, higher CRP and lower sodium level. As compared with KD-HIS and KD-ICU patients, PIMS patients were older and more frequently had myocarditis; they also had fewer coronary abnormalities and lower sodium levels. Unresponsiveness to IVIG was more frequent in KD-ICU than KD-HIS and PIMS patients. CONCLUSION: On clinical grounds, KD-HIS, KD-ICU and PIMS might belong to a common spectrum of non-specific pathogen-triggered hyperinflammatory states. The causes of increasing inflammation severity within the three entities and the different effects on the heart remain to be determined.
  • |Adolescent[MESH]
  • |Aspirin/therapeutic use[MESH]
  • |C-Reactive Protein/metabolism[MESH]
  • |COVID-19/blood/*physiopathology/therapy[MESH]
  • |Case-Control Studies[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Coronary Disease/*physiopathology[MESH]
  • |Digestive System Diseases/physiopathology[MESH]
  • |Female[MESH]
  • |France[MESH]
  • |Glucocorticoids/therapeutic use[MESH]
  • |Heart Failure/*physiopathology[MESH]
  • |Humans[MESH]
  • |Immunoglobulins, Intravenous/therapeutic use[MESH]
  • |Immunologic Factors/therapeutic use[MESH]
  • |Infant[MESH]
  • |Infant, Newborn[MESH]
  • |Intensive Care Units, Pediatric[MESH]
  • |Male[MESH]
  • |Mucocutaneous Lymph Node Syndrome/blood/*physiopathology/therapy[MESH]
  • |Myocarditis/blood/*physiopathology[MESH]
  • |Nervous System Diseases/physiopathology[MESH]
  • |Pericardial Effusion/*physiopathology[MESH]
  • |Phenotype[MESH]
  • |Platelet Aggregation Inhibitors/therapeutic use[MESH]
  • |Platelet Count[MESH]
  • |Sodium/blood[MESH]
  • |Systemic Inflammatory Response Syndrome/blood/*physiopathology/therapy[MESH]
  • |Ventricular Dysfunction, Left/*physiopathology[MESH]


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