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10.3389/fimmu.2021.680567

http://scihub22266oqcxt.onion/10.3389/fimmu.2021.680567
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suck abstract from ncbi


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pmid34248962      Front+Immunol 2021 ; 12 (ä): 680567
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  • Case Report: Adult Post-COVID-19 Multisystem Inflammatory Syndrome and Thrombotic Microangiopathy #MMPMID34248962
  • Boudhabhay I; Rabant M; Roumenina LT; Coupry LM; Poillerat V; Marchal A; Fremeaux-Bacchi V; El Karoui K; Monchi M; Pourcine F
  • Front Immunol 2021[]; 12 (ä): 680567 PMID34248962show ga
  • BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has affected millions of people worldwide. A clinical series of Kawasaki-like multisystem inflammatory syndrome (MIS), occurring after SARS-CoV-2 infection, have been described in children (MIS-C) and adults (MIS-A), but the pathophysiology remains unknown. CASE PRESENTATION: We describe a case of post-COVID-19 MIS-A in a 46-year-old man with biopsy-proven renal thrombotic microangiopathy (TMA). Specific complement inhibition with eculizumab was initiated promptly and led to a dramatic improvement of renal function. CONCLUSION: Our case suggests that that TMA could play a central role in the pathophysiology of post-COVID-19 MIS-A, making complement blockers an interesting therapeutic option.
  • |Antibodies, Monoclonal, Humanized/*therapeutic use[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |Complement Inactivating Agents/*therapeutic use[MESH]
  • |Humans[MESH]
  • |Kidney/*metabolism/pathology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Recovery of Function[MESH]
  • |SARS-CoV-2/*physiology[MESH]
  • |Systemic Inflammatory Response Syndrome/*diagnosis/drug therapy[MESH]


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