Evidence map›Paper›PMID 33219837›Full record

ReviewRheumatology international2021

Severe COVID-19, multisystem inflammatory syndrome in children, and Kawasaki disease: immunological mechanisms, clinical manifestations and management.

Jayakanthan Kabeerdoss, Rakesh Kumar Pilania, Reena Karkhele, T Sathish Kumar, Debashish Danda, Surjit Singh

Open access · bronzeAbstract readReview
In one paragraph

Review in Rheumatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 157 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
157citing papers in PubMed, 2 pooled it
61.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

157 citing papers in PubMed, 2 syntheses or guidelines pooled it, 355 citations in OpenAlex.

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97 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Jayakanthan KabeerdossDepartment of Clinical Immunology and Rheumatology, Christian Medical College and Hospital, Vellore, Tamil Nadu, 632004, India.ORCID 0000-0002-7852-6657
Rakesh Kumar PilaniaAllergy Immunology Unit, Department of Pediatrics and Chief, Advanced Pediatrics Centre, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.ORCID 0000-0002-9015-1704
Reena KarkheleMGM Medical College and Hospital, Navi Mumbai, Maharashtra, India.ORCID 0000-0002-3405-5996
T Sathish KumarDepartment of Child Health, Christian Medical College, Vellore, India.ORCID 0000-0003-2137-7475
Debashish DandaDepartment of Clinical Immunology and Rheumatology, Christian Medical College and Hospital, Vellore, Tamil Nadu, 632004, India. debashisdandacmc@hotmail.com.ORCID 0000-0002-2121-0942
Surjit SinghAllergy Immunology Unit, Department of Pediatrics and Chief, Advanced Pediatrics Centre, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India. surjitsinghpgi@rediffmail.com.ORCID 0000-0002-6716-1883
Christian Medical College, Vellore · INPost Graduate Institute of Medical Education and Research · INMahatma Gandhi Mission Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multisystem inflammatory syndrome (MIS-C) is a pediatric hyperinflammation disorder caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). It has now been reported from several countries the world over. Some of the clinical manifestations of MIS-C mimic Kawasaki disease (KD) shock syndrome. MIS-C develops 4-6 weeks following SARS-CoV-2 infection, and is presumably initiated by adaptive immune response. Though it has multisystem involvement, it is the cardiovascular manifestations that are most prominent. High titres of anti-SARS-CoV-2 antibodies are seen in these patients. As this is a new disease entity, its immunopathogenesis is not fully elucidated. Whether it has some overlap with KD is still unclear. Current treatment guidelines recommend use of intravenous immunoglobulin and high-dose corticosteroids as first-line treatment. Mortality rates of MIS-C are lower compared to adult forms of severe COVID-19 disease.

Indexed as

ChildChild, PreschoolCOVID-19Diagnosis, DifferentialHumansImmunoglobulins, IntravenousMucocutaneous Lymph Node SyndromePandemicsSARS-CoV-2Systemic Inflammatory Response SyndromeImmunoglobulins, IntravenousCoronavirus disease 2019HyperinflammationKawasaki disease (KD)Kawasaki-like diseaseMultisystem inflammatory syndrome (MIS-C)

Identifiers

PMID33219837
PMCPMC7680080
OpenAlexW3105958098

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.