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10.1016/j.semarthrit.2022.152047

http://scihub22266oqcxt.onion/10.1016/j.semarthrit.2022.152047
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suck abstract from ncbi


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pmid35709649      Semin+Arthritis+Rheum 2022 ; 55 (ä): 152047
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  • COVID-19 associated pediatric vasculitis: A systematic review and detailed analysis of the pathogenesis #MMPMID35709649
  • Batu ED; Sener S; Ozen S
  • Semin Arthritis Rheum 2022[Aug]; 55 (ä): 152047 PMID35709649show ga
  • OBJECTIVES: Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2, has opened a new era in the practice of pediatric rheumatology since it has been associated with inflammatory complications such as vasculitis and arthritis. In this review, we aimed to present a detailed analysis of COVID-19 associated pediatric vasculitis. METHODS: A systematic review of the English literature was performed through Pubmed/MEDLINE and Scopus up to January 1st, 2022. Articles including data about the patients with 1) onset of vasculitis <18 years of age, 2) evidence of SARS-CoV-2 exposure, 3) evidence of vasculitis diagnosis (imaging, histopathologic evidences or fulfilling the specific diagnostic/classification criteria) were included in the final analysis. Patients with Kawasaki disease-like vasculitis associated with multisystem inflammatory syndrome in children (MIS-C) were excluded. RESULTS: A total of 25 articles describing 36 patients with COVID-19 associated pediatric vasculitis (median age 13 years; M/F: 2.3) were included. The most frequent phenotype was IgA vasculitis (n=9) followed by chilblains (n=7) and ANCA associated vasculitis (AAV) (n=5). Skin (58.3%) and renal (30.5%) involvements were the most common manifestations of vasculitis. The majority of patients received corticosteroids (40%), while rituximab (14.2%) and cyclophosphamide (11.4%) were the most frequently used immunosuppressive drugs. Remission was achieved in 23 of 28 patients. Five patients (4 with central nervous system vasculitis; 1 with AAV) died. CONCLUSION: Although COVID-19 associated pediatric vasculitis is very rare, awareness of this rare entity is important to secure earlier diagnosis and treatment. The clinical features of COVID-19 associated pediatric vasculitis subtypes look similar to those in pediatric vasculitis not associated with COVID-19. Whether COVID-19 is the reason of the vasculitis or only the trigger remains unknown.
  • |*Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis[MESH]
  • |*COVID-19/complications[MESH]
  • |Child[MESH]
  • |Humans[MESH]
  • |Rituximab[MESH]
  • |SARS-CoV-2[MESH]


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