Correspondence on ‘Paediatric multisystem inflammatory syndrome temporally associated with SARS-CoV-2 mimicking Kawasaki disease (Kawa-COVID-19): a multicentre cohort’
| Autor: | Andrew R. DiNardo, Kalpana Bhairavarasu, Emmanuel Guajardo, Robert L. Atmar, Riyad Y. Kherallah, Xunyan Ye, Eva H. Clark, Meredith J. Ventura, Sandeep K. Agarwal, Pedro A. Piedra |
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| Rok vydání: | 2020 |
| Předmět: |
030203 arthritis & rheumatology
0301 basic medicine Pediatrics medicine.medical_specialty Coronavirus disease 2019 (COVID-19) business.industry Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Immunology Anosmia Arthritis Systemic inflammation medicine.disease medicine.disease_cause General Biochemistry Genetics and Molecular Biology Autoimmunity 03 medical and health sciences 030104 developmental biology 0302 clinical medicine Rheumatology Cohort medicine Immunology and Allergy Kawasaki disease medicine.symptom business |
| Zdroj: | Annals of the Rheumatic Diseases |
| ISSN: | 1468-2060 0003-4967 |
| DOI: | 10.1136/annrheumdis-2020-218959 |
| Popis: | We read with great interest the article by Pouletty et al reporting 16 paediatric patients presenting with Kawa-COVID-19, an inflammatory syndrome similar to Kawasaki disease (KD) associated with SARS-CoV-2 infection.1 All 16 patients met criteria for complete or incomplete KD. Severe cases in children involving systemic inflammation and multiorgan involvement related to COVID-19 are increasingly being reported. These cases, named multisystem inflammatory syndrome in children (MIS-C) in the USA and pediatric multisystem inflammatory syndrome temporally associated with SARS-CoV-2 in the UK, share features of both KD and macrophage activation syndrome.2–6 In contrast to children, few adults with KD-like cases have been reported.7 8 Herein, we describe an adult who presented with KD-like illness similar to children in the Kawa-COVID-19 cohort 4 weeks following a documented SARS-CoV-2 infection. A 38-year-old Hispanic woman developed fever, dyspnoea, cough, anosmia, myalgias and polyarthralgias of the hands, wrists, elbows and knees 4 weeks prior to admission. At that time, nasopharyngeal SARS-CoV-2 PCR was positive. Her symptoms completely resolved within 2 weeks. Five days prior to … |
| Databáze: | OpenAIRE |
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