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10.1093/ckj/sfab073

http://scihub22266oqcxt.onion/10.1093/ckj/sfab073
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34471522!8083308!34471522
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suck abstract from ncbi


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pmid34471522      Clin+Kidney+J 2021 ; 14 (9): 2000-2011
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  • Kidney involvement in multisystem inflammatory syndrome in children: a pediatric nephrologist s perspective #MMPMID34471522
  • Sethi SK; Rana A; Adnani H; McCulloch M; Alhasan K; Sultana A; Safadi R; Agrawal N; Raina R
  • Clin Kidney J 2021[Sep]; 14 (9): 2000-2011 PMID34471522show ga
  • The initial report of the multisystem inflammatory syndrome in children (MIS-C) was from the UK in April 2020; since then, cases have been reported worldwide. Renal involvement has been seen commonly, ranging from 10% to 46%. Kidney involvement following severe acute respiratory syndrome coronavirus 2 infection in children with MIS-C is more common than initially thought and is associated with higher morbidity and mortality. There are several reports of a direct viral tropism of coronavirus disease 2019 and MIS-C-associated renal damage. This study's objective was to systematically review the current understanding of kidney involvement in children suffering from MIS-C. Based on our systemic literature search, 19 studies have either partially or fully discussed kidney involvement in MIS-C patients. Furthermore, we discuss the multifactorial pathogenesis contributing to acute kidney injury (AKI) development in MIS-C. The current review gives a pediatric nephrologist's perspective of the renal involvement in MIS-C, the incidence of AKI, the pathophysiology of AKI in MIS-C and the proposed therapeutic regimens available, including the need for kidney replacement therapy for a child with AKI associated with MIS-C. As the disease is rapidly evolving, more detailed clinical prospective studies are required to understand MIS-C and its role in AKI better.
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