Kawasaki Disease and Multisystem Inflammatory Syndrome in Children: Common Inflammatory Pathways of Two Distinct Diseases.

Kawasaki Disease and Multisystem Inflammatory Syndrome in Children: Common Inflammatory Pathways of Two Distinct Diseases.
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DOI:
10.1016/j.rdc.2023.03.002
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发表时间:
2023-08
影响因子:
2.3
通讯作者:
Arditi, Moshe
Arditi, Moshe
中科院分区:
医学4区
文献类型:
--
作者:
Rivas, Magali Noval;Arditi, Moshe

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儿童多系统炎症综合征(MIS-C)是一种迟发性炎症后疾病,与既往严重急性呼吸道综合征冠状病毒2型(SARS-CoV-2)感染有关。最初,MIS-C被描述为与川崎病(KD)高度相似,川崎病是一种可导致冠状动脉瘤(CAA)发展的小儿发热性全身性血管炎。虽然KD和MIS-C都是炎症性疾病,但这两种疾病在流行病学、临床、免疫学和病理学特征方面存在差异。MIS-C的临床和实验室特征与中毒性休克综合征(TSS)的关系比KD更密切,这有助于了解发病机制和潜在的治疗方法。
Multisystem inflammatory syndrome in children (MIS-C) is a delayed postinflammatory disorder associated with the previous infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Initially, MIS-C was described as highly similar to Kawasaki disease (KD), a pediatric febrile systemic vasculitis that can lead to the development of coronary artery aneurysms (CAAs). While KD and MIS-C are both inflammatory disorders, the 2 entities differ in their epidemiological, clinical, immunological, and pathological features. MIS-C clinical and laboratory characteristics are more closely related to toxic shock syndrome (TSS) than KD, which informs the understanding of pathogenesis and potential therapeutic approaches.
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