Pathophysiological and clinical point of view on Kawasaki disease and MIS-C

This article compares two important pathophysiological states, Kawasaki disease, and multisystem inflammatory syndrome, in children associated with COVID-19 (MIS-C). Both occur predominantly in children, have a temporal association with an infectious agent, and are associated with immune-system alte...

Full description

Bibliographic Details
Main Authors: Lenka Vaňková, Jiří Bufka, Věra Křížková
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Pediatrics and Neonatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1875957223001079
_version_ 1797672111907536896
author Lenka Vaňková
Jiří Bufka
Věra Křížková
author_facet Lenka Vaňková
Jiří Bufka
Věra Křížková
author_sort Lenka Vaňková
collection DOAJ
description This article compares two important pathophysiological states, Kawasaki disease, and multisystem inflammatory syndrome, in children associated with COVID-19 (MIS-C). Both occur predominantly in children, have a temporal association with an infectious agent, and are associated with immune-system alteration and systemic inflammation under certain circumstances. The two share common pathophysiology, including enhancement of interleukin-1 neutrophils, activation of the inflammasome, pyroptosis, or NETosis. Moreover, the clinical presentation of the diseases overlaps. However, they are indeed two separate diseases, proven by the differences in the epidemiological and etiological aspects and the pathophysiological processes involved in the development and frequency of some clinical signs. This article highlights potentially exciting areas that have not yet been studied in detail, which could help better understand the development of these diseases.
first_indexed 2024-03-11T21:25:20Z
format Article
id doaj.art-e30bec1118734cd2b0813c0dab0112f1
institution Directory Open Access Journal
issn 1875-9572
language English
last_indexed 2024-03-11T21:25:20Z
publishDate 2023-09-01
publisher Elsevier
record_format Article
series Pediatrics and Neonatology
spelling doaj.art-e30bec1118734cd2b0813c0dab0112f12023-09-28T05:25:15ZengElsevierPediatrics and Neonatology1875-95722023-09-01645495504Pathophysiological and clinical point of view on Kawasaki disease and MIS-CLenka Vaňková0Jiří Bufka1Věra Křížková2Department of Histology and Embryology, Faculty of Medicine in Pilsen, Charles University, Czech Republic; Corresponding author. Department of Histology and Embryology, Faculty of Medicine in Pilsen, Charles University in Prague, alej Svobody 76, Pilsen, 323 00, Czech Republic.Department of Pediatrics, Teaching Hospital in Pilsen, Czech RepublicDepartment of Histology and Embryology, Faculty of Medicine in Pilsen, Charles University, Czech RepublicThis article compares two important pathophysiological states, Kawasaki disease, and multisystem inflammatory syndrome, in children associated with COVID-19 (MIS-C). Both occur predominantly in children, have a temporal association with an infectious agent, and are associated with immune-system alteration and systemic inflammation under certain circumstances. The two share common pathophysiology, including enhancement of interleukin-1 neutrophils, activation of the inflammasome, pyroptosis, or NETosis. Moreover, the clinical presentation of the diseases overlaps. However, they are indeed two separate diseases, proven by the differences in the epidemiological and etiological aspects and the pathophysiological processes involved in the development and frequency of some clinical signs. This article highlights potentially exciting areas that have not yet been studied in detail, which could help better understand the development of these diseases.http://www.sciencedirect.com/science/article/pii/S1875957223001079COVID-19Kawasaki diseaseMIS-C
spellingShingle Lenka Vaňková
Jiří Bufka
Věra Křížková
Pathophysiological and clinical point of view on Kawasaki disease and MIS-C
Pediatrics and Neonatology
COVID-19
Kawasaki disease
MIS-C
title Pathophysiological and clinical point of view on Kawasaki disease and MIS-C
title_full Pathophysiological and clinical point of view on Kawasaki disease and MIS-C
title_fullStr Pathophysiological and clinical point of view on Kawasaki disease and MIS-C
title_full_unstemmed Pathophysiological and clinical point of view on Kawasaki disease and MIS-C
title_short Pathophysiological and clinical point of view on Kawasaki disease and MIS-C
title_sort pathophysiological and clinical point of view on kawasaki disease and mis c
topic COVID-19
Kawasaki disease
MIS-C
url http://www.sciencedirect.com/science/article/pii/S1875957223001079
work_keys_str_mv AT lenkavankova pathophysiologicalandclinicalpointofviewonkawasakidiseaseandmisc
AT jiribufka pathophysiologicalandclinicalpointofviewonkawasakidiseaseandmisc
AT verakrizkova pathophysiologicalandclinicalpointofviewonkawasakidiseaseandmisc