tetano
Editor, Senior Moderator
Expert Rev Clin Immunol
. 2020 Nov 5.
doi: 10.1080/1744666X.2021.1847643. Online ahead of print.
The wide spectrum of Kawasaki-like disease associated with SARS-CoV-2 infection
Onorina Berardicurti[SUP] 1 [/SUP], Alessandro Conforti[SUP] 1 [/SUP], Piero Ruscitti[SUP] 1 [/SUP], Paola Cipriani[SUP] 1 [/SUP], Roberto Giacomelli[SUP] 1 [/SUP]
Affiliations
Abstract
Introduction: On June 2020, the first case of concurrent Covid-19 and Kawasaki disease (KD) was published. After this first description, further works reported new cases of children affected by KD and KD-like syndrome after SARS-CoV-2 infection. The clinical and biochemical features of these patients differed from the historical cohorts of KD, suggesting the possibility of a new multi-systemic inflammatory syndrome. Is still unclear if this new clinical entity, often referred as pediatric inflammatory multisystem syndrome (PIMS) or multi-system inflammatory syndrome in children (MIS-C), could be considered as part of the KD spectrum or is a new disease with different pathogenic mechanisms and uniquely linked to SARS-CoV-2 infection. The authors searched the available literature in MedLine (via Pubmed) with the terms ("coronaviruses" OR "coronavirus") AND ("Kawasaki disease") for English studies without any temporal limit. Areas covered: This review aims to comprehensively describe multisystem inflammatory syndromes affecting children during Coronaviruses outbreak, and to evaluate the possible pathogenic role of human Coronaviridae in KD and KD-like syndromes. Expert opinion: An increased incidence of PIMS-TS, during the Covid-19 pandemic has been reported, suggesting that SARS-CoV-2 may trigger a severe hyper-inflammatory syndrome in childhood. The pathophysiological mechanisms of this disease are still unclear. Based on these findings, SARS-CoV-2 may be considered another trigger in the complex mosaic about the relationship among infectious agents and the occurrence of systemic hyper-inflammation related syndromes.
Keywords: Children; Covid-19; Kawasaki disease; Kawasaki-like disease; SARS-CoV-2; multisystem inflammatory syndrome.
. 2020 Nov 5.
doi: 10.1080/1744666X.2021.1847643. Online ahead of print.
The wide spectrum of Kawasaki-like disease associated with SARS-CoV-2 infection
Onorina Berardicurti[SUP] 1 [/SUP], Alessandro Conforti[SUP] 1 [/SUP], Piero Ruscitti[SUP] 1 [/SUP], Paola Cipriani[SUP] 1 [/SUP], Roberto Giacomelli[SUP] 1 [/SUP]
Affiliations
- PMID: 33152254
- DOI: 10.1080/1744666X.2021.1847643
Abstract
Introduction: On June 2020, the first case of concurrent Covid-19 and Kawasaki disease (KD) was published. After this first description, further works reported new cases of children affected by KD and KD-like syndrome after SARS-CoV-2 infection. The clinical and biochemical features of these patients differed from the historical cohorts of KD, suggesting the possibility of a new multi-systemic inflammatory syndrome. Is still unclear if this new clinical entity, often referred as pediatric inflammatory multisystem syndrome (PIMS) or multi-system inflammatory syndrome in children (MIS-C), could be considered as part of the KD spectrum or is a new disease with different pathogenic mechanisms and uniquely linked to SARS-CoV-2 infection. The authors searched the available literature in MedLine (via Pubmed) with the terms ("coronaviruses" OR "coronavirus") AND ("Kawasaki disease") for English studies without any temporal limit. Areas covered: This review aims to comprehensively describe multisystem inflammatory syndromes affecting children during Coronaviruses outbreak, and to evaluate the possible pathogenic role of human Coronaviridae in KD and KD-like syndromes. Expert opinion: An increased incidence of PIMS-TS, during the Covid-19 pandemic has been reported, suggesting that SARS-CoV-2 may trigger a severe hyper-inflammatory syndrome in childhood. The pathophysiological mechanisms of this disease are still unclear. Based on these findings, SARS-CoV-2 may be considered another trigger in the complex mosaic about the relationship among infectious agents and the occurrence of systemic hyper-inflammation related syndromes.
Keywords: Children; Covid-19; Kawasaki disease; Kawasaki-like disease; SARS-CoV-2; multisystem inflammatory syndrome.