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10.1111/pai.13611

http://scihub22266oqcxt.onion/10.1111/pai.13611
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34331778!ä!34331778

suck abstract from ncbi


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pmid34331778      Pediatr+Allergy+Immunol 2021 ; 32 (8): 1857-1865
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  • Recurrent assessment of lymphocyte subsets in 32 patients with multisystem inflammatory syndrome in children (MIS-C) #MMPMID34331778
  • Okarska-Napierala M; Mandziuk J; Feleszko W; Stelmaszczyk-Emmel A; Panczyk M; Demkow U; Kuchar E
  • Pediatr Allergy Immunol 2021[Nov]; 32 (8): 1857-1865 PMID34331778show ga
  • BACKGROUND: Lymphopenia is a hallmark of multisystem inflammatory syndrome in children (MIS-C). We aimed to characterize lymphocyte subsets' shifts and their correlations with other severity markers of MIS-C. METHODS: In this prospective cross-sectional study, we performed peripheral lymphocyte phenotyping in 32 patients with MIS-C. We analyzed lymphocyte subsets at three time points of the disease: the acute (A), convalescent (B), and recovery (C) phases. Based on age-normalized lymphocyte counts, we distinguished two groups of patients: "the mild" (higher lymphocyte counts) and "the severe" (lower lymphocyte counts). In addition, we examined differences between these groups regarding other severity markers. RESULTS: In phase A, 84% of children had lymphopenia. Decreased absolute counts of CD3, CD4, and CD8 cells were observed in, respectively, 88%, 72%, and 84% of patients. The natural killer cells were decreased in 63% and CD19 in 59% of children. "The severe" group had significantly higher procalcitonin and troponin I levels and lower platelets and albumin. Moreover, "the severe" group had hypotension more frequently (73% vs. 20%, p = .008). In phase B, all lymphocyte counts increased, and 32% of children had lymphocytosis. The increase of CD3, CD4, and CD8 counts correlated with some laboratory severity markers (hemoglobin, procalcitonin, D-dimer, lactate dehydrogenase, N-terminal prohormone of brain natriuretic peptide, albumin), but not with steroid use. In phase C, most children had normal lymphocyte counts. CONCLUSIONS: Substantial shifts in lymphocyte counts during MIS-C apply most to T lymphocytes and correlate with the disease severity markers, particularly hypotension prevalence. A proportion of children with MIS-C develops transient lymphocytosis during convalescence.
  • |*Lymphocyte Subsets[MESH]
  • |*T-Lymphocyte Subsets[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Humans[MESH]
  • |Lymphocyte Count[MESH]
  • |Prospective Studies[MESH]


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