Science Editor, Medical Science Monitor, International Scientific Information, Inc., Melville, NY, USA.
Med Sci Monit. 2021 May 31;27:e933369. doi: 10.12659/MSM.933369.
In early 2020, at the beginning of the coronavirus disease 2019 (COVID-19) pandemic due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), rare cases were reported in children and adolescents of multisystem inflammatory syndrome in children (MIS-C). MIS-C is characterized by fever, systemic inflammation, and multiorgan dysfunction and usually presents late in SARS-CoV-2 infection. Since May 2020, the Centers for Disease Control and Prevention (CDC) has recorded all reported cases of COVID-19 and MIS-C in children and adolescents in the USA. In April 2021, the American College of Rheumatology (ACR) revised its clinical guidelines for diagnosing and managing hyperinflammation and MIS-C. There are several challenges ahead for preventing, diagnosing, and managing MIS-C, particularly following the rapid emergence of new strains of SARS-CoV-2. This Editorial aims to present an update on the current status of the clinical presentation, diagnosis, and management of MIS-C and includes some updates from population studies and clinical guidelines.
2020 年初,在由严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引起的 2019 冠状病毒病(COVID-19)大流行初期,有报道称儿童和青少年中罕见出现儿童多系统炎症综合征(MIS-C)。MIS-C 的特征是发热、全身炎症和多器官功能障碍,通常在 SARS-CoV-2 感染后晚期出现。自 2020 年 5 月以来,美国疾病控制与预防中心(CDC)记录了美国所有报告的儿童和青少年 COVID-19 和 MIS-C 病例。2021 年 4 月,美国风湿病学会(ACR)修订了其诊断和管理过度炎症和 MIS-C 的临床指南。在预防、诊断和管理 MIS-C 方面,未来仍面临诸多挑战,尤其是在 SARS-CoV-2 新毒株迅速出现的情况下。本社论旨在介绍 MIS-C 的临床表现、诊断和管理的最新现状,包括来自人群研究和临床指南的一些更新。