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儿童严重急性呼吸综合征冠状病毒2感染所致多系统炎症综合征

Severe acute respiratory syndrome coronavirus 2-induced multisystem inflammatory syndrome in children.

作者信息

Feng Zhiguan, Bao Yanmin, Yang Yonghong, Zheng Yuejie, Shen Kunling

机构信息

Department of Respiratory Medicine Shenzhen Children's Hospital Shenzhen Guangdong China.

Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.

出版信息

Pediatr Investig. 2020 Dec 28;4(4):257-262. doi: 10.1002/ped4.12225. eCollection 2020 Dec.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-induced multisystem inflammatory syndrome in children (MIS-C) is a life-threatening illness that has been reported in the United States and Europe. It affects multiple organ systems and often requires patient admission to an intensive care unit. Although some features of MIS-C overlap with Kawasaki disease, MIS-C is more common among older children and adolescents, more often affects cardiovascular and gastrointestinal systems, and more frequently presents with elevated inflammatory markers. Rapid and complete clinical recovery is possible in nearly all patients following immunomodulation therapy. Thus far, MIS-C pathophysiology and long-term prognosis are not sufficiently clear; further studies are needed.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的儿童多系统炎症综合征(MIS-C)是一种危及生命的疾病,已在美国和欧洲有报道。它会影响多个器官系统,通常需要患者入住重症监护病房。虽然MIS-C的一些特征与川崎病重叠,但MIS-C在大龄儿童和青少年中更常见,更常影响心血管和胃肠道系统,并且更频繁地出现炎症标志物升高。几乎所有患者在接受免疫调节治疗后都有可能实现快速且完全的临床康复。迄今为止,MIS-C的病理生理学和长期预后尚不清楚;需要进一步研究。

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