Evidence map›Paper›PMID 34491393›Full record

ArticleRheumatology international2022

Differences and similarities of multisystem inflammatory syndrome in children, Kawasaki disease and macrophage activating syndrome due to systemic juvenile idiopathic arthritis: a comparative study.

Gülçin Otar Yener, Ayşenur Paç Kısaarslan, Kadir Ulu, Erdal Atalay, Fatih Haşlak, Semanur Özdel, Burcu Bozkaya Yücel, Deniz Gezgin Yıldırım, Figen Çakmak, Kübra Öztürk and 36 more

Open access · bronzeAbstract read
In one paragraph

Article in Rheumatology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
9.4field-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

41 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Observational
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. 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

46 authors at 15 institutions in 1 country.

Gülçin Otar YenerDepartment of Pediatric Rheumatology, Şanlıurfa Research and Training Hospital, Yenice Mah Yenice Yolu No. 1, Sanliurfa, Turkey. gulcinotar@gmail.com.ORCID 0000-0003-2575-6309
Ayşenur Paç KısaarslanPediatric Rheumatology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.ORCID 0000-0002-1800-9922
Kadir UluPediatric Rheumatology, University of Health Sciences, Ümraniye Research and Training Hospital, Istanbul, Turkey.ORCID 0000-0002-8197-6077
Erdal AtalayPediatric Rheumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.ORCID 0000-0002-8974-7121
Fatih HaşlakPediatric Rheumatology, Cerrahpaşa Faculty of Medicine, İstanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID 0000-0002-6963-9668
Semanur ÖzdelPediatric Rheumatology, University of Health Sciences, Dr. Sami Ulus Maternity and Child Health and Diseases Research and Training Hospital, Ankara, Turkey.ORCID 0000-0001-5602-4595
Burcu Bozkaya YücelPediatric Rheumatology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.ORCID 0000-0001-8095-2017
Deniz Gezgin YıldırımPediatric Rheumatology, Diyarbakır Training and Research Hospital, Diyarbakır, Turkey.ORCID 0000-0002-4823-2076
Figen ÇakmakPediatric Rheumatology, Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID 0000-0002-1667-2480
Kübra ÖztürkPediatric Rheumatology, Istanbul Medeniyet University, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, Istanbul, Turkey.ORCID 0000-0003-0466-0228
Mustafa ÇakanPediatric Rheumatology, University of Health Sciences, Zeynep Kamil Women and Children's Diseases Training and Research Hospital, Istanbul, Turkey.ORCID 0000-0002-1034-6406
Zeynep BalıkPediatric Rheumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.ORCID 0000-0002-7685-7364
Canan Hasbal AkkuşPediatrics, University of Health Sciences, Ümraniye Research and Training Hospital, Istanbul, Turkey.ORCID 0000-0002-2432-2499
Mehmet YıldızPediatric Rheumatology, Cerrahpaşa Faculty of Medicine, İstanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID 0000-0002-7834-4909
Tuğba EratPediatric Infectious Diseases, Şanlıurfa Research and Training Hospital, Sanliurfa, Turkey.ORCID 0000-0003-2434-4134
Benhur Şirvan ÇetinPediatric Infectious Diseases, Faculty of Medicine, Erciyes University, Kayseri, Turkey.ORCID 0000-0002-8470-4907
Münevver YılmazPediatric Cardiology, Faculty of Medicine, Pamukkale University, Denizli, Turkey.ORCID 0000-0002-5076-1479
Esra BağlanPediatric Rheumatology, University of Health Sciences, Dr. Sami Ulus Maternity and Child Health and Diseases Research and Training Hospital, Ankara, Turkey.ORCID 0000-0001-5637-8553
Sibel Laçinel GürlevikPediatric Infectious Diseases, Faculty of Medicine, Hacettepe University, Ankara, Turkey.ORCID 0000-0001-9434-3597
Vildan AtasayanPediatric Cardiology, University of Health Sciences, Ümraniye Research and Training Hospital, Istanbul, Turkey.ORCID 0000-0002-5146-0686
Şerife Gül KaradağPediatric Rheumatology, Erzurum Regional Research and Training Hospital, Erzurum, Turkey.ORCID 0000-0002-3232-0055
Amra AdrovicPediatric Rheumatology, Cerrahpaşa Faculty of Medicine, İstanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID 0000-0002-2400-6955
Şengül ÇağlayanPediatric Rheumatology, University of Health Sciences, Ümraniye Research and Training Hospital, Istanbul, Turkey.ORCID 0000-0003-3014-5692
Ayşe TanatarPediatric Rheumatology, Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID 0000-0002-1386-4575
Fatma Gül DemirkanPediatric Rheumatology, Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID 0000-0001-9950-2489
Taner CoşkunerPediatric Rheumatology, University of Health Sciences, Ümraniye Research and Training Hospital, Istanbul, Turkey.ORCID 0000-0001-7844-3387
Özlem AkgünPediatric Rheumatology, Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID 0000-0001-7216-0562
Müşerref Kasap CüceoğluPediatric Rheumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.ORCID 0000-0002-9957-8894
Gülşah Kavrul KayaalpPediatric Rheumatology, Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID 0000-0001-7490-7076
Sezgin ŞahinPediatric Rheumatology, Cerrahpaşa Faculty of Medicine, İstanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID 0000-0002-5365-3457
Özge BaşaranPediatric Rheumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.ORCID 0000-0002-8534-0930
Ferhat DemirPediatric Rheumatology, University of Health Sciences, Ümraniye Research and Training Hospital, Istanbul, Turkey.ORCID 0000-0001-9801-925X
Kenan BarutPediatric Rheumatology, Cerrahpaşa Faculty of Medicine, İstanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID 0000-0001-8459-2872
Murat ÇiftelPediatric Cardiology, Şanlıurfa Research and Training Hospital, Sanliurfa, Turkey.ORCID 0000-0001-6512-6868
Dolunay GürsesPediatric Cardiology, Faculty of Medicine, Pamukkale University, Denizli, Turkey.ORCID 0000-0001-7456-9791
Ali BaykanPediatric Cardiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.ORCID 0000-0002-6760-3936
Yasemin ÖzsürekçiPediatric Infectious Diseases, Faculty of Medicine, Hacettepe University, Ankara, Turkey.ORCID 0000-0001-8662-6909
Tevfik KaragözPediatric Cardiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.ORCID 0000-0002-7680-8183
Hafize Emine SönmezPediatric Rheumatology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.ORCID 0000-0002-9186-3068
Yelda BilginerPediatric Rheumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.ORCID 0000-0002-6232-0072
Nuray Aktay AyazPediatric Rheumatology, Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID 0000-0003-3594-7387
Özlem AydoğPediatric Rheumatology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.ORCID 0000-0002-2157-7226
Selçuk YükselPediatric Rheumatology, Faculty of Medicine, Pamukkale University, Denizli, Turkey.ORCID 0000-0001-9415-1640
Betül SözeriPediatric Rheumatology, University of Health Sciences, Ümraniye Research and Training Hospital, Istanbul, Turkey.ORCID 0000-0002-5079-5644
Özgür KasapçopurPediatric Rheumatology, Cerrahpaşa Faculty of Medicine, İstanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID 0000-0002-1125-7720
Seza ÖzenPediatric Rheumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.ORCID 0000-0002-2389-7282
Hacettepe University · TRÜmraniye Eğitim ve Araştırma Hastanesi · TRIstanbul University · TRIstanbul University-Cerrahpaşa · TRErciyes University · TRPamukkale University · TRMinistry of Health · TROndokuz Mayıs University · TRŞanlıurfa Mehmet Akif İnan Eğitim ve Araştırma Hastanesi · TRDiyarbakır Askeri Hastanesi · TRErzurum Regional Training and Research Hospital · TRIstanbul Medeniyet University · TRKocaeli Üniversitesi · TRYenişehir Hospital · TRZeynep Kamil Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To compare the clinical and laboratory findings of multisystem inflammatory syndrome in children (MIS-C), patients with Kawasaki disease (KD) and with macrophage activating syndrome due to systemic juvenile idiopathic arthritis (sJIA-MAS) on real-life data. Patients diagnosed with MIS-C, KD, and sJIA-MAS from 12 different centers in Turkey who were followed for at least 6 months were included in the study. Demographic, clinical, and laboratory findings of all patients were analyzed. A total of 154 MIS-C, 59 KD, and 31 sJIA-MAS patients were included. The median age of patients with MIS-C were higher than those with KD while lower than those with sJIA-MAS (8.2, 3, 12 years, respectively). Myalgia (39.6%), cardiac (50.6%), gastrointestinal (72.7%), and neurological (22.1%) involvements were more common in patients with MIS-C compared to others. MIS-C patients had lower levels of lymphocyte (950 vs 1700 cells/µl) and thrombocyte (173,000 vs 355,000 cells/µl) counts and higher pro-BNP (1108 vs 55 pg/ml) levels than KD. Ferritin levels were higher in patients with MIS-C compared to patients with KD while they were lower than patients with sJIA-MAS (440, 170, 10,442 ng/ml, respectively). Patients with MIS-C had a shorter duration of hospitalization than sJIA-MAS (p = 0.02) while they required intensive care unit admission more frequently (55 vs 8 patients, p < 0.001). The median MAS/sJIA score of MIS-C patients was - 1.64 (- 5.23 to 9.68) and the median MAS/sJIA score of sJIA-MAS patients was -2.81 ([- 3.79] to [- 1.27]). MIS-C patients displayed certain differences in clinical and laboratory features when compared to KD and sJIA-MAS. Definition of the differences and similarities between MIS-C and the other intense inflammatory syndromes of childhood such as KD and MAS will help the clinicians while making timely diagnosis.

Indexed as

Arthritis, JuvenileMacrophage Activation SyndromeMucocutaneous Lymph Node SyndromeBiomarkersChildCOVID-19FerritinsHumansMacrophagesSystemic Inflammatory Response SyndromeBiomarkersFerritinsKawasaki disease (KD)Macrophage activation syndromeMultisystem inflammatory syndrome in children (MIS-C)Systemic juvenile idiopathic arthritis

Identifiers

PMID34491393
PMCPMC8421714
OpenAlexW3198117423

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.