A Pediatric Hematologist explains Multisystem Inflammatory S
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The recent pandemic has confined people all over the world to the indoors to try to keep the virus from spreading. Older adults have been the most commonly affected age group with the virus, but more recently, a strange presentation of COVID-19 has been seen in children.

-- It mirrors the presentation of a dramatic disease of children called Kawasaki disease, where the body goes into an overdrive leading to overactivation of inflammation.
-- This new disease has been given a name: multisystem inflammatory syndrome in children (MIS-C) and the CDC recently issued guidance to diagnose children with MIS-C if they have the following:

• Age less than 21 years with fever, laboratory evidence of inflammation and evidence of clinically severe illness requiring hospitalization with multisystem organ involvement (cardiac, renal, respiratory, hematologic, gastrointestinal, dermatologic or neurological)
• No plausible alternative diagnoses
• Positive for current or recent SARS-CoV-2 infection by a reverse-transcriptase polymerase chain reaction, serology or antigen test; or COVID-19 exposure within the four weeks prior to the onset of symptoms

-- Simply put if a child develops high-grade fever, a rash, swollen hands and feet, red eyes, swollen lymph nodes and red, swollen or cracked lips, mouth, throat, and tongue, etc. immediate help with the pediatrician should be sought to identify the cases earlier as prompt and early treatment leads to full recovery in children in most cases and delay on the other hand can lead to life-threatening cardiac complications.

-- Treatment with medications called immunoglobulins and supportive care in a hospital setting is needed.

-- Special populations of children with chronic diseases like Type 1 diabetes, sickle cell anemia, pediatric cancer, and other blood disorders are immunocompromised and are furthermore at risk for COVID infection and its effects.

Source: https://www.kevinmd.com/blog/2020/05/a-pediatric-hematologist-explains-multisystem-inflammatory-syndrome-in-children.html
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Dr. S●●●●●m S●●●●y P●●●●●l
Dr. S●●●●●m S●●●●y P●●●●●l General Medicine
Interesting read. One does wonder how is below 21 age counted as children? This will of course need further training to allow suspicion when such cases are seen,so that timely treatment is started.
Jun 3, 2020Like1