[2019冠状病毒病大流行背景下的儿童多系统炎症综合征]
[Multisystem inflammatory syndrome in children in the context of coronavirus disease 2019 pandemic].
作者信息
Zhou Bin, Huang Yu-Kun, Hong Shao-Xian, Jiao Fu-Yong, Xie Kai-Sheng
机构信息
Structual/Congenital Heart Disease and Ultrasound Center, China Medical University Children's Hospital, Taichung, Taiwan, China (Xie K-S, Email: kshsieh@hotmail. com).
出版信息
Zhongguo Dang Dai Er Ke Za Zhi. 2024 Jan 15;26(1):98-102. doi: 10.7499/j.issn.1008-8830.2306093.
Multisystem inflammatory syndrome in children (MIS-C) is a complex syndrome characterized by multi-organ involvement that has emerged in the context of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak. The clinical presentation of MIS-C is similar to Kawasaki disease but predominantly presents with fever and gastrointestinal symptoms, and severe cases can involve toxic shock and cardiac dysfunction. Epidemiological findings indicate that the majority of MIS-C patients test positive for SARS-CoV-2 antibodies. The pathogenesis and pathophysiology of MIS-C remain unclear, though immune dysregulation following SARS-CoV-2 infection is considered a major contributing factor. Current treatment approaches for MIS-C primarily involve intravenous immunoglobulin therapy and symptomatic supportive care. This review article provides a comprehensive overview of the definition, epidemiology, pathogenesis, clinical presentation, diagnosis, treatment, and prognosis of MIS-C.
儿童多系统炎症综合征(MIS-C)是一种复杂的综合征,其特征为多器官受累,在严重急性呼吸综合征冠状病毒2(SARS-CoV-2)疫情背景下出现。MIS-C的临床表现与川崎病相似,但主要表现为发热和胃肠道症状,严重病例可出现中毒性休克和心脏功能障碍。流行病学研究结果表明,大多数MIS-C患者的SARS-CoV-2抗体检测呈阳性。尽管SARS-CoV-2感染后的免疫失调被认为是一个主要促成因素,但MIS-C的发病机制和病理生理学仍不清楚。目前MIS-C的治疗方法主要包括静脉注射免疫球蛋白治疗和对症支持治疗。这篇综述文章全面概述了MIS-C的定义、流行病学、发病机制、临床表现、诊断、治疗和预后。
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