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Pediatric Inflammatory Multisystem Syndrome: Time to Collaborate.

Hari Krishnan Kanthimathinathan1,2, Barnaby R Scholefield1,3

  • 1Paediatric Intensive Care Unit, Birmingham Women's and Children's National Health Service Foundation Trust, Birmingham, United Kingdom.

Journal of the Pediatric Infectious Diseases Society
|September 18, 2020
PubMed
Summary

Pediatric inflammatory multisystem syndrome associated with SARS-CoV-2 has varied names and definitions, hindering research and treatment. A collaborative consensus is needed for better understanding and management of this condition.

Keywords:
COVID-19Kawasaki diseaseSARS-CoV-2coronavirusmultisystem inflammatory syndrome

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Area of Science:

  • Pediatric infectious diseases
  • Immunology
  • Public health

Background:

  • The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been linked to a novel pediatric inflammatory condition.
  • This syndrome, often termed pediatric inflammatory multisystem syndrome, presents with diverse clinical manifestations.
  • Inconsistent nomenclature and case definitions complicate the understanding of its epidemiology and pathophysiology.

Purpose of the Study:

  • To highlight the critical need for a unified definition and nomenclature for pediatric inflammatory multisystem syndrome associated with SARS-CoV-2.
  • To underscore the challenges posed by current variability in research and clinical management.
  • To advocate for international collaboration to establish a consensus.

Main Methods:

  • This study is a review and analysis of existing literature and clinical reports.
  • It examines the spectrum of reported cases and the different terminologies used.
  • It synthesizes expert opinions on the defining characteristics of the syndrome.

Main Results:

  • Significant heterogeneity exists in the naming conventions for this pediatric syndrome.
  • Case definitions vary widely across different studies and geographic regions.
  • This lack of standardization impedes comparative analysis and the development of evidence-based guidelines.

Conclusions:

  • The current variability in the definition and naming of pediatric inflammatory multisystem syndrome associated with SARS-CoV-2 is a significant barrier.
  • Establishing a consensus on terminology and case definitions is crucial for advancing scientific knowledge.
  • Collaborative efforts are essential to improve the diagnosis, treatment, and outcomes for affected children.