Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children
Recently, it was reported that children recovering from coronavirus disease (COVID-19) developed multisystem inflammatory syndrome in children (MIS-C), which causes severe inflammation in multiple organs of the body. Because MIS-C is a new disease, the pathophysiology and prognosis are unknown. Owin...
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| Format: | Article |
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Frontiers Media S.A.
2022-01-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2021.810811/full |
| _version_ | 1798035461106565120 |
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| author | Tokio Kinoshita Tokio Kinoshita Yukihide Nishimura Yasunori Umemoto Yumi Koike Yumi Koike Ken Kouda Takahiro Ogawa Tomohiro Suenaga Fumihiro Tajima |
| author_facet | Tokio Kinoshita Tokio Kinoshita Yukihide Nishimura Yasunori Umemoto Yumi Koike Yumi Koike Ken Kouda Takahiro Ogawa Tomohiro Suenaga Fumihiro Tajima |
| author_sort | Tokio Kinoshita |
| collection | DOAJ |
| description | Recently, it was reported that children recovering from coronavirus disease (COVID-19) developed multisystem inflammatory syndrome in children (MIS-C), which causes severe inflammation in multiple organs of the body. Because MIS-C is a new disease, the pathophysiology and prognosis are unknown. Owing to a lack of studies on this subject, we herein provide information on rehabilitation for children with MIS-C. A 12-year-old male patient presented with systemic inflammatory symptoms after approximately 2 months since recovery from COVID-19. He was treated with cyclosporine and steroid pulse therapy after admission to our hospital. His general condition improved significantly within approximately 1 week. Thereafter, his lower legs turned dark purple and he experienced intense pain whenever the lower limbs hung below the heart, such as in the sitting position. The patient was referred to the rehabilitation department, as he had difficulties during standing and walking. Because the symptoms improved with elevation of the lower extremities, we considered that the pain was related to venous stasis. The pain reduced when an elastic bandage was applied for the prevention of venous stasis; therefore, exercise therapy was implemented while the patient wore the elastic bandage. The patient's lower extremity symptoms improved in 10 days. He was discharged after 16 days and could independently perform activities of daily living (ADL). The mechanism underlying the patient's pain could not be determined; however, rehabilitation was effective when combined with compression therapy using an elastic bandage. |
| first_indexed | 2024-04-11T20:58:34Z |
| format | Article |
| id | doaj.art-ac1a8507e3f14f9696bcdee7669e225c |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-11T20:58:34Z |
| publishDate | 2022-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-ac1a8507e3f14f9696bcdee7669e225c2022-12-22T04:03:36ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-01-01910.3389/fped.2021.810811810811Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in ChildrenTokio Kinoshita0Tokio Kinoshita1Yukihide Nishimura2Yasunori Umemoto3Yumi Koike4Yumi Koike5Ken Kouda6Takahiro Ogawa7Tomohiro Suenaga8Fumihiro Tajima9Department of Rehabilitation Medicine, Wakayama Medical University, Wakayama, JapanDivision of Rehabilitation, Wakayama Medical University Hospital, Wakayama, JapanDepartment of Rehabilitation Medicine, Iwate Medical University, Shiwa-gun, JapanDepartment of Rehabilitation Medicine, Wakayama Medical University, Wakayama, JapanDepartment of Rehabilitation Medicine, Wakayama Medical University, Wakayama, JapanDivision of Rehabilitation, Wakayama Medical University Hospital, Wakayama, JapanDepartment of Rehabilitation Medicine, Wakayama Medical University, Wakayama, JapanChuzan Hospital Clinical Education and Research Center, Okinawa, JapanDepartment of Pediatrics, Wakayama Medical University, Wakayama, JapanDepartment of Rehabilitation Medicine, Wakayama Medical University, Wakayama, JapanRecently, it was reported that children recovering from coronavirus disease (COVID-19) developed multisystem inflammatory syndrome in children (MIS-C), which causes severe inflammation in multiple organs of the body. Because MIS-C is a new disease, the pathophysiology and prognosis are unknown. Owing to a lack of studies on this subject, we herein provide information on rehabilitation for children with MIS-C. A 12-year-old male patient presented with systemic inflammatory symptoms after approximately 2 months since recovery from COVID-19. He was treated with cyclosporine and steroid pulse therapy after admission to our hospital. His general condition improved significantly within approximately 1 week. Thereafter, his lower legs turned dark purple and he experienced intense pain whenever the lower limbs hung below the heart, such as in the sitting position. The patient was referred to the rehabilitation department, as he had difficulties during standing and walking. Because the symptoms improved with elevation of the lower extremities, we considered that the pain was related to venous stasis. The pain reduced when an elastic bandage was applied for the prevention of venous stasis; therefore, exercise therapy was implemented while the patient wore the elastic bandage. The patient's lower extremity symptoms improved in 10 days. He was discharged after 16 days and could independently perform activities of daily living (ADL). The mechanism underlying the patient's pain could not be determined; however, rehabilitation was effective when combined with compression therapy using an elastic bandage.https://www.frontiersin.org/articles/10.3389/fped.2021.810811/fullcase reportcoronavirus diseasemultisystem inflammatory syndrome in childreninflammationrehabilitation |
| spellingShingle | Tokio Kinoshita Tokio Kinoshita Yukihide Nishimura Yasunori Umemoto Yumi Koike Yumi Koike Ken Kouda Takahiro Ogawa Tomohiro Suenaga Fumihiro Tajima Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children Frontiers in Pediatrics case report coronavirus disease multisystem inflammatory syndrome in children inflammation rehabilitation |
| title | Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children |
| title_full | Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children |
| title_fullStr | Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children |
| title_full_unstemmed | Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children |
| title_short | Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children |
| title_sort | case report rehabilitation for lower extremity pain due to venous stasis in a patient with multisystem inflammatory syndrome in children |
| topic | case report coronavirus disease multisystem inflammatory syndrome in children inflammation rehabilitation |
| url | https://www.frontiersin.org/articles/10.3389/fped.2021.810811/full |
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