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Published in: Current Allergy and Asthma Reports 6/2023

12-05-2023 | Aneurysm

Multisystem Inflammatory Syndrome in Children and Kawasaki Disease: Parallels in Pathogenesis and Treatment

Authors: Laura Cannon, M. Jay Campbell, Eveline Y. Wu

Published in: Current Allergy and Asthma Reports | Issue 6/2023

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Abstract

Purpose of Review

Since it first appeared, multisystem inflammatory syndrome in children (MIS-C) associated with coronavirus disease 2019 (COVID-19) has been compared to Kawasaki disease (KD). Although there were early parallels between MIS-C and KD, key differences emerged over time. Here, we aim to compare the pathogenesis, clinical presentation, treatment, and outcomes of MIS-C and KD.

Recent Findings

In this article, we review and compare MIS-C and KD, highlighting differentiating features. We discuss the epidemiological and immunological factors along with clinical and laboratory features which discern MIS-C from KD. We also compare treatment and our understanding of long-term outcomes.

Summary

Though parallels exist between MIS-C and KD, distinguishing the two is important for clinical management of patients, counseling about natural history, and determining long-term monitoring. While both MIS-C and KD are characterized by profound inflammation and inflammatory vasculopathy, further study is needed to determine whether they are distinct immunopathogenic disorders.
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Metadata
Title
Multisystem Inflammatory Syndrome in Children and Kawasaki Disease: Parallels in Pathogenesis and Treatment
Authors
Laura Cannon
M. Jay Campbell
Eveline Y. Wu
Publication date
12-05-2023
Publisher
Springer US
Published in
Current Allergy and Asthma Reports / Issue 6/2023
Print ISSN: 1529-7322
Electronic ISSN: 1534-6315
DOI
https://doi.org/10.1007/s11882-023-01083-0

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