Cardiac pathology and outcomes vary between Kawasaki disease and PIMS-TS

Copyright © 2021 Elsevier Inc. All rights reserved.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 229(2021) vom: 01. Aug., Seite 108780
1. Verfasser: Felsenstein, Susanna (VerfasserIn)
Weitere Verfasser: Duong, Phuoc, Lane, Steven, Jones, Caroline, Pain, Clare E, Hedrich, Christian M
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2021
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Comparative Study Journal Article Research Support, Non-U.S. Gov't COVID KD Kawasaki MIS-C Outcome PIMS-TS Pediatric mehr... Treatment Adrenal Cortex Hormones Immunoglobulins, Intravenous
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245 1 0 |a Cardiac pathology and outcomes vary between Kawasaki disease and PIMS-TS 
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500 |a Date Revised 25.09.2021 
500 |a published: Print-Electronic 
500 |a ErratumIn: Clin Immunol. 2021 Oct;231:108855. - PMID 34561161 
500 |a Citation Status MEDLINE 
520 |a Copyright © 2021 Elsevier Inc. All rights reserved. 
520 |a Overlapping clinical features promoted the discussion of whether Kawasaki disease (KD) and PIMS-TS share pathophysiological features and disease outcomes. Medical records from English patients with KD (2015-02/20, N = 27) and PIMS-TS (02/2020-21, N = 34) were accessed to extract information. Children with PIMS-TS were older and more frequently of minority ethnicity background. They patients more commonly exhibited cytopenias and hyperferritinemia, which associated with diffuse cardiac involvement and functional impairment. In some PIMS-TS cases, cardiac pathology developed late, but outcomes were more favorable. In both, KD and PIMS-TS, baseline coronary diameter was a predictor of outcomes. PIMS-TS treatment more frequently included respiratory and cardiovascular support, and corticosteroids with IVIG. Cardiac involvement in PIMS-TS may be the result of a cytokine storm. Though more severe and diffuse when compared to KD, cardiac involvement of PIMS-TS has a more favorable prognosis, which may, after recovery, mitigate the need for long-term follow up 
650 4 |a Comparative Study 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
650 4 |a COVID 
650 4 |a KD 
650 4 |a Kawasaki 
650 4 |a MIS-C 
650 4 |a Outcome 
650 4 |a PIMS-TS 
650 4 |a Pediatric 
650 4 |a Treatment 
650 7 |a Adrenal Cortex Hormones  |2 NLM 
650 7 |a Immunoglobulins, Intravenous  |2 NLM 
700 1 |a Duong, Phuoc  |e verfasserin  |4 aut 
700 1 |a Lane, Steven  |e verfasserin  |4 aut 
700 1 |a Jones, Caroline  |e verfasserin  |4 aut 
700 1 |a Pain, Clare E  |e verfasserin  |4 aut 
700 1 |a Hedrich, Christian M  |e verfasserin  |4 aut 
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