From the Assistant Professor and Associate Professor of Pediatrics, Perelman School of Medicine at the University of Pennsylvania; and Division of Pediatric Emergency Medicine and Pediatric Sepsis Program, Children's Hospital of Philadelphia, Philadelphia, PA.
Pediatr Emerg Care. 2022 Feb 1;38(2):83-91. doi: 10.1097/PEC.0000000000002633.
Multisystem inflammatory syndrome in children (MIS-C) is a syndrome of abnormal immune response after severe acute respiratory syndrome coronavirus 2 infection that can result in organ dysfunction including severe cardiovascular compromise in children. Increased evidence supports a clinical and laboratory profile in MIS-C distinct from Kawasaki disease, with MIS-C typically occurring in older children and with more prominent gastrointestinal and neurologic symptoms, as well as increased inflammation, lymphopenia, and cardiac injury on laboratory testing. However, high-level evidence regarding best practices for treatment and long-term outcomes in MIS-C is limited.
儿童多系统炎症综合征(MIS-C)是严重急性呼吸综合征冠状病毒 2 感染后异常免疫反应的综合征,可导致儿童器官功能障碍,包括严重心血管功能障碍。越来越多的证据支持 MIS-C 具有不同于川崎病的临床和实验室特征,MIS-C 通常发生在年龄较大的儿童中,胃肠道和神经系统症状更为突出,实验室检查炎症、淋巴细胞减少和心脏损伤更为明显。然而,关于 MIS-C 的治疗和长期预后的最佳实践的高级别证据有限。