PMID- 32921728 OWN - NLM STAT- MEDLINE DCOM- 20200922 LR - 20210517 IS - 2531-6745 (Electronic) IS - 0392-4203 (Print) IS - 0392-4203 (Linking) VI - 91 IP - 3 DP - 2020 Sep 7 TI - The "perfect" storm: Current evidence on pediatric inflammatory multisystem disease during SARS-CoV-2 pandemic. PG - e2020034 LID - 10.23750/abm.v91i3.10360 [doi] AB - Current data suggest that during the global pandemic of COVID 19 children are less affected than adults and most of them are asymptomatic or with mild symptoms. However, recently, cases of pediatric patients who have developed severe inflammatory syndrome temporally related to SARS-CoV-2 have been reported both in USA and Europe. These reports, although sharing features with other pediatric syndromes such as Kawasaki disease (KD), Kawasaki disease shock syndrome (KDSS), macrophage activated syndrome (MAS) and shock toxic syndrome (TSS), seem to outline a novel entity syndrome, characterized by cytokine storm with elevated inflammatory markers and typical clinical finding. Clinical characteristics are greater median age than KD, higher frequency of cardiac involvement and gastrointestinal symptoms, lower frequency of coronary anomalies. We report a summary of the current evidence about clinical features, pathogenesis, therapy strategies and outcome of this novel syndrome. FAU - Lami, Francesca AU - Lami F AD - Pediatric Unit, Department of Medical and Surgical Sciences of the Mother, Children and Adults. University of Modena and Reggio Emilia. lami.francesca@aou.mo.it. FAU - Scalabrini, Ilaria AU - Scalabrini I AD - Post-graduate school of Pediatrics, Department of Medical and Surgical Sciences of the Mother, Children and Adults. University of Modena and Reggio Emilia. ilaria.scalabrini@gmail.com. FAU - Lucaccioni, Laura AU - Lucaccioni L AD - Pediatric Unit, Department of Medical and Surgical Sciences of the Mother, Children and Adults. University of Modena and Reggio Emilia, Via del Pozzo n. 71, 41124, Modena, Italy. laura.lucaccioni@unimore.it. FAU - Iughetti, Lorenzo AU - Iughetti L AD - Pediatric Unit, Department of Medical and Surgical Sciences of the Mother, Children and Adults. University of Modena and Reggio Emilia, Modena, Italy. lorenzo.iughetti@unimore.it. LA - eng PT - Journal Article PT - Review DEP - 20200907 PL - Italy TA - Acta Biomed JT - Acta bio-medica : Atenei Parmensis JID - 101295064 RN - 0 (Biomarkers) RN - 0 (Cytokines) SB - IM CIN - Acta Biomed. 2021 May 12;92(2):e2021016. PMID: 33988161 MH - *Betacoronavirus MH - Biomarkers/blood MH - COVID-19 MH - Child MH - Coronavirus Infections/blood/*epidemiology MH - Cytokines/*blood MH - Humans MH - Mucocutaneous Lymph Node Syndrome/blood/*epidemiology MH - *Pandemics MH - Pneumonia, Viral/blood/*epidemiology MH - SARS-CoV-2 PMC - PMC7717011 COIS- Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article EDAT- 2020/09/15 06:00 MHDA- 2020/09/23 06:00 PMCR- 2020/01/01 CRDT- 2020/09/14 05:47 PHST- 2020/07/30 00:00 [received] PHST- 2020/07/30 00:00 [accepted] PHST- 2020/09/14 05:47 [entrez] PHST- 2020/09/15 06:00 [pubmed] PHST- 2020/09/23 06:00 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - ACTA-91-34 [pii] AID - 10.23750/abm.v91i3.10360 [doi] PST - epublish SO - Acta Biomed. 2020 Sep 7;91(3):e2020034. doi: 10.23750/abm.v91i3.10360.