Evidence map›Paper›PMID 34716418›Full record

ReviewNature reviews. Rheumatology2021

Multisystem inflammatory syndrome in children and Kawasaki disease: a critical comparison.

Chetan Sharma, Madhusudan Ganigara, Caroline Galeotti, Joseph Burns, Fernando M Berganza, Denise A Hayes, Davinder Singh-Grewal, Suman Bharath, Sujata Sajjan, Jagadeesh Bayry

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Nature reviews. Rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05576714 (Investigation of Prognostic Biomarkers, Host Factors and Viral Factors for COVID-19 Associated Encephalopathy/Encephalitis and Multi-systemic Inflammatory Syndrome in Children), which is not on this map. Cited by 145 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
145citing papers in PubMed, 5 pooled it
43.3field-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.

NCT05576714 unknown statusnot on this mapstarted 2022, after this paper: background citation

Investigation of Prognostic Biomarkers, Host Factors and Viral Factors for COVID-19 Associated Encephalopathy/Encephalitis and Multi-systemic Inflammatory Syndrome in Children

Typeobservational_patient_registrySponsorNational Taiwan University HospitalRan2022 to 2025Enrolled300ConditionsCOVID-19-Associated Encephalitis, Multisystem Inflammatory Syndrome in ChildrenArmsdelineate its prognostic biomarker, host genetic factors, immunopathogenesis and viral pathogenesis
3 · Its place in the literature

Who cites it

145 citing papers in PubMed, 5 syntheses or guidelines pooled it, 250 citations in OpenAlex.

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85 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

10 authors at 9 institutions in 4 countries.

Chetan Sharma *Division of Paediatric Cardiology, Children's Hospital of San Antonio/Baylor College of Medicine, San Antonio, TX, USA. Chetan.Sharma@bcm.edu.ORCID http://orcid.org/0000-0003-3085-9521
Madhusudan Ganigara *Division of Paediatric Cardiology, The University of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0001-6083-4355
Caroline GaleottiService de Rhumatologie Pédiatrique, Centre de Référence des Maladies Auto-Inflammatoires Rares et des Amyloses, CHU de Bicêtre, le Kremlin Bicêtre, France.
Joseph BurnsDivision of Paediatrics, Cohen Children's Medical Center, New Hyde Park, NY, USA.
Fernando M BerganzaDivision of Paediatric Cardiology, Driscoll Children's Hospital, Driscoll, TX, USA.
Denise A HayesDivision of Paediatric Cardiology, Cohen Children's Medical Center, New Hyde Park, NY, USA.
Davinder Singh-GrewalDivision of Paediatric Rheumatology, The Sydney Children's Hospitals Network, Sydney, NSW, Australia.
Suman BharathDivision of Neurology, John F Kennedy Medical Center/Hackensack Meridian University, Edison, NJ, USA.
Sujata SajjanDivision of Pathology and Laboratory Medicine, Northwell Health Laboratories, Lake Success, NY, USA.
Jagadeesh BayryInstitut National de la Santé et de la Recherche Médicale, Centre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, Paris, France. bayry@iitpkd.ac.in.ORCID http://orcid.org/0000-0003-0498-9808
Cohen Children's Medical Center · USBaylor College of Medicine · USCentre de Référence des Maladies Autoinflammatoires et des Amyloses · FRDriscoll Children's Hospital · USHackensack Meridian Health · USInserm · FRNorthwell Health · USSydney Children’s Hospitals Network · AUThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Children and adolescents infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are predominantly asymptomatic or have mild symptoms compared with the more severe coronavirus disease 2019 (COVID-19) described in adults. However, SARS-CoV-2 is also associated with a widely reported but poorly understood paediatric systemic vasculitis. This multisystem inflammatory syndrome in children (MIS-C) has features that overlap with myocarditis, toxic-shock syndrome and Kawasaki disease. Current evidence indicates that MIS-C is the result of an exaggerated innate and adaptive immune response, characterized by a cytokine storm, and that it is triggered by prior SARS-CoV-2 exposure. Epidemiological, clinical and immunological differences classify MIS-C as being distinct from Kawasaki disease. Differences include the age range, and the geographical and ethnic distribution of patients. MIS-C is associated with prominent gastrointestinal and cardiovascular system involvement, admission to intensive care unit, neutrophilia, lymphopenia, high levels of IFNγ and low counts of naive CD4

Indexed as

Mucocutaneous Lymph Node SyndromeSystemic Inflammatory Response SyndromeAdolescentChildCOVID-19Cytokine Release SyndromeHumansSARS-CoV-2

Identifiers

PMID34716418
PMCPMC8554518
OpenAlexW3208110199

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.