Department of Internal Medicine and Pediatrics, Children's Hospital of Michigan, 4201 St. Antoine, UHC 5C, Detroit, MI 48201, USA.
Division Chief for Pediatric Rheumatology, Department of Pediatrics, Wayne State University School of Medicine, Wayne Pediatrics, 400 Mack Avenue, Detroit, Michigan 48201, USA.
Pediatr Clin North Am. 2021 Oct;68(5):1011-1027. doi: 10.1016/j.pcl.2021.05.002.
A multisystem inflammatory syndrome (MISC) can result from COVID-19 infection in previously healthy children and adolescents. It is potentially life threatening and is treated initially with intravenous immunoglobulin and aspirin but may require anti-inflammatory monoclonal antibody treatment in severe cases. SARS-CoV-2 infection can cause macrophage activation syndrome, chilblains, and flares of existing rheumatologic diseases. The pandemic has led to later presentation of some rheumatologic conditions as parents and patients have avoided health care settings. PubMed and Google scholar have been utilized to review the literature on the rheumatologic conditions resulting from COVID-19 and the current treatment options.
一种多系统炎症综合征(MISC)可由先前健康的儿童和青少年感染 COVID-19 引起。这种疾病可能有生命危险,最初采用静脉注射免疫球蛋白和阿司匹林治疗,但在严重情况下可能需要使用抗炎性单克隆抗体治疗。SARS-CoV-2 感染可引起巨噬细胞活化综合征、冻疮和原有风湿病的发作。大流行导致一些风湿病的就诊时间推迟,因为家长和患者避免前往医疗机构。通过 PubMed 和 Google Scholar 检索了 COVID-19 引起的风湿病及其当前治疗选择的相关文献。