儿童多系统炎症综合征:对炎症连续体中一种综合征不断发展的认识。

IF 1 Q3 PEDIATRICS Minerva Pediatrics Pub Date : 2024-08-01 Epub Date: 2023-06-16 DOI:10.23736/S2724-5276.23.07279-8
Sathya Areti, Marissa Parrillo, Lena Baker, Alexandra Meszaros, Alexandra Dram, Kenneth E Remy
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引用次数: 0

摘要

儿童多系统炎症综合征(MIS-C)是一种罕见的高炎症和免疫抑制病症,影响暴露于 COVID-19 的儿童。MIS-C 与过度夸大的先天性和适应性免疫反应有关,其特点是 "选择性 "细胞因子产生和 T 细胞抑制。随着 COVID-19 信息的发展,围绕 MIS-C 的知识和领域也在不断发展。因此,我们需要并提供一份全面的临床综述,简明扼要地介绍有关常见临床表现、与类似疾病的比较、与 COVID-19 疫苗效应和相关表观遗传标记物的关联、治疗和长期疗效评估等方面的现有文献研究结果,以帮助指导未来的研究。
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Multisystem inflammatory syndrome in children: an evolving understanding of a syndrome amid the inflammatory continuum.

Multisystem inflammatory syndrome in children (MIS-C) is a rare hyperinflammatory and immunosuppressed condition affecting children exposed to COVID-19. MIS-C has been associated with an over-exaggerated innate and adaptive immune response characterized by a 'selective' cytokine production and T cell suppression. As COVID-19 information has evolved, the knowledge and field surrounding MIS-C is ever evolving. Thus, a comprehensive clinical review that concisely presents current literature findings regarding common clinical presentations and comparisons with similar conditions, associations with the COVID-19 vaccine effects and relevant epigenetic markers and evaluates treatment and long-term outcomes to help guide future studies is needed and provided.

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