Evidence map›Paper›PMID 34692237›Full record

ReviewCurrent pediatrics reports2021

Current Insights Into the Pathophysiology of Multisystem Inflammatory Syndrome in Children.

Laura A Vella, Anne H Rowley

Open access · bronzeAbstract readReview
In one paragraph

Review in Current pediatrics reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
13.8field-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

40 citing papers in PubMed, 69 citations in OpenAlex.

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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

2 authors at 2 institutions in 1 country.

Laura A VellaDivision of Infectious Diseases, Department of Pediatrics, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104 USA.
Anne H RowleyDivision of Infectious Diseases, Department of Pediatrics, The Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Avenue, Box 20, Chicago, IL 60611 USA.
Children's Hospital of Philadelphia · USLurie Children's Hospital · US

Funding

Identifying Specific Antigenic Targets of Kawasaki DiseaseR01AI150719 · NIAID · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI ROWLEY, ANNE H · 2020 to 2024
$2.2M
Transcriptional and epigenetic regulation of Tfh dysfunction in HIVK08AI136660 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI VELLA, LAURA A · 2018 to 2022
$778k
NIAID NIH HHS K08 AI136660NIAID NIH HHS R01 AI150719
6 · The paper itself

Abstract

Purpose of Review: We highlight the new clinical entity multisystem inflammatory syndrome in children (MIS-C), the progress in understanding its immunopathogenesis, and compare and contrast the clinical and immunologic features of MIS-C with Kawasaki disease (KD). Recent Findings: Studies show immune dysregulation in MIS-C including T lymphocyte depletion and activation, T cell receptor Vbeta skewing, elevated plasmablast frequencies, increased markers of vascular pathology, and decreased numbers and functional profiles of antigen-presenting cells. Summary: MIS-C is a late manifestation of infection with SARS-CoV-2 associated with marked immune activation and many potential mechanisms of immunopathogenesis. MIS-C and KD have clinical similarities but are distinct. Myocardial dysfunction with or without mild coronary artery dilation can occur in MIS-C but generally corrects within weeks. In contrast, the coronary arteries are the primary target in KD, and coronary artery sequelae can be lifelong. Supportive care and anti-inflammatory therapy appear to hasten improvement in children with MIS-C, and there is hope that vaccines will prevent its development.

Indexed as

Inflammatory syndromeKawasaki diseaseMIS-CPediatricSARS-CoV-2

Identifiers

PMID34692237
PMCPMC8524214
OpenAlexW3205394874

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.