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儿童多系统炎症综合征(MIS-C):与长新冠的关联。

Multisystem inflammatory syndrome in children (MIS-C): Implications for long COVID.

机构信息

Department of Pediatrics, Semmelweis University, Tűzoltó u. 7-9., Budapest, 1094, Hungary.

出版信息

Inflammopharmacology. 2023 Oct;31(5):2221-2236. doi: 10.1007/s10787-023-01272-3. Epub 2023 Jul 17.

Abstract

The COVID-19 pandemic caused by the coronavirus 2 of the severe acute respiratory syndrome (SARS-CoV-2) has significantly affected people around the world, leading to substantial morbidity and mortality. Although the pandemic has affected people of all ages, there is increasing evidence that children are less susceptible to SARS-CoV-2 infection and are more likely to experience milder symptoms than adults. However, children with COVID-19 can still develop serious complications, such as multisystem inflammatory syndrome in children (MIS-C). This narrative review of the literature provides an overview of the epidemiology and immune pathology of SARS-CoV-2 infection and MIS-C in children. The review also examines the genetics of COVID-19 and MIS-C in children, including the genetic factors that can influence the susceptibility and severity of the diseases and their implications for personalized medicine and vaccination strategies. By examining current evidence and insights from the literature, this review aims to contribute to the development of effective prevention and treatment strategies for COVID-19, MIS-C, and long COVID syndromes in children.

摘要

由严重急性呼吸系统综合征冠状病毒 2 (SARS-CoV-2)引起的 COVID-19 大流行已对全球各地的人们造成了重大影响,导致大量发病率和死亡率。尽管该大流行已影响到所有年龄段的人群,但越来越多的证据表明,儿童对 SARS-CoV-2 感染的易感性较低,且比成年人更可能出现轻症。然而,患有 COVID-19 的儿童仍可能发生严重并发症,如儿童多系统炎症综合征(MIS-C)。这篇文献综述对 SARS-CoV-2 感染和儿童 MIS-C 的流行病学和免疫病理学进行了概述。该综述还探讨了儿童 COVID-19 和 MIS-C 的遗传学,包括可能影响疾病易感性和严重程度的遗传因素,以及它们对个性化医学和疫苗接种策略的影响。通过检查当前的证据和文献中的见解,本综述旨在为儿童 COVID-19、MIS-C 和长 COVID 综合征的有效预防和治疗策略的制定做出贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b52d/10518292/17d04dc0d4f7/10787_2023_1272_Fig1_HTML.jpg

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