Evidence map›Paper›PMID 33708752›Full record

ArticleFrontiers in pediatrics2020

Case Report: Use of Anakinra in Multisystem Inflammatory Syndrome During COVID-19 Pandemic.

Sara Della Paolera, Erica Valencic, Elisa Piscianz, Valentina Moressa, Alberto Tommasini, Raffaella Sagredini, Valentina Kiren, Manola Comar, Andrea Taddio

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Cytokine storm.Nature reviews. Disease primers · 2026
    Review
  5. Article
  6. Innate and adaptive immunity in acute myocarditis.International journal of cardiology · 2024
    Review
  7. Treatment of multisystem inflammatory syndrome in children.World journal of pediatrics : WJP · 2024
    Review
  8. Cytokines in Cytokine Storm Syndrome.Advances in experimental medicine and biology · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Current evidence on the use of anakinra in COVID-19.International immunopharmacology · 2022
    Review
  18. COVID-19 and the cardiovascular system: an update.The American journal of the medical sciences · 2022
    Review
  19. Article
  20. Article
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

9 authors at 2 institutions in 1 country.

Sara Della PaoleraDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Erica ValencicInstitute of Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.
Elisa PiscianzInstitute of Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.
Valentina MoressaInstitute of Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.
Alberto TommasiniDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Raffaella SagrediniInstitute of Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.
Valentina KirenInstitute of Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.
Manola ComarDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Andrea TaddioDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
IRCCS Materno Infantile Burlo Garofolo · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During COVID-19 outbreak, a large number of children with severe inflammatory disease has been reported. This condition, named Pediatric Multi-inflammatory Syndrome temporally associated with COVID-19 (PIMS-TS) or Multisystem Inflammatory Syndrome associated with Coronavirus Disease 2019 (MIS-C), shares some clinical features with Kawasaki disease and is frequently complicated by myocarditis or shock. It has been suggested that MIS-C belongs to the group of cytokine storm syndromes triggered by SARS-CoV-2 infection. So far, intravenous immunoglobulin (IVIG) and systemic glucocorticoids are the most common therapeutic approaches reported in this group of patients. However, the use of anakinra in patients with severe forms of COVID-19 is showing promising results. Here we reported two patients with multisystem inflammatory syndrome complicated with shock. Both the patients presented a poor response to IVIG and systemic glucocorticoids and received anakinra. Treatment with IL-1 receptor antagonist showed a rapid improvement of clinical conditions and biochemical analysis in both patients and demonstrated a good safety profile. Thus, we look forward for future controlled clinical trials with the aim to demonstrate the effectiveness of anakinra in patients with MIS-C and established precise criteria for its use.

Indexed as

anakinraCOVID-19IL-1KawasakiMISC-CPIMS-TSSARS-CoV-2

Identifiers

PMID33708752
PMCPMC7940350
OpenAlexW3132743336

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.