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Cited by 369

The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.

Multi-system inflammatory syndrome in children & adolescents (MIS-C): A systematic review of clinical features and presentation

Open access
Radia, Trisha, Williams, Nia, Agrawal, Pankaj, Harman, Katharine, Weale, Jonathan, Cook, James, Gupta, Atul·2021·Paediatric Respiratory Reviews

Abstract

Multisystem Inflammatory Syndrome in Children (MIS-C) is a new phenomenon reported worldwide with temporal association with Covid-19. The objective of this paper is to evaluate reported cases in children and adolescents. From 1726 papers, 35 documented papers related to MIS-C cases identified 783 individual cases of MIS-C between March-June 2020; with 55% being male (n = 435) and a median age of 8.6 years (IQR, 7–10 years; range 3 months–20 years). Patients with MIS-C were noted to have a high frequency of gastrointestinal symptoms (71%) including abdominal pain (34%) and diarrhea (27%). Cough and respiratory distress were reported in 4.5% and 9.6% cases respectively. Blood parameters showed neutrophilia in 345/418 (83%) of cases and a high CRP in 587/626 (94%). 362/619 (59%) cases were SARS-CoV-2 infection positive (serology or PCR) however only 41% demonstrated pulmonary changes on chest imaging. Severity of illness was high with 68% cases requiring intensive care admission; 63% requiring inotropic support; 244/783 (28%) cases needing some form of respiratory support (138 mechanically ventilated), and 31 required extra-corporeal membrane oxygenation. Treatment strategies included intravenous immunoglobulin (63%) and intravenous steroids (44%). 29 cases received Infliximab, 47 received IL1 (interleukin) receptor antagonist, and 47 received IL6-receptor antagonist. 12/783 (1.5%) children died. In summary, a higher incidence of gastrointestinal symptoms were noted in MIS-C. In contrast to acute Covid-19 infection in children, MIS-C appears to be a condition of higher severity with 68% of cases having required critical care support.

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Metadata

Authors
Radia, T., Williams, N., Agrawal, P., Harman, K., Weale, J., Cook, J., & Gupta, A.
Venue
Paediatric Respiratory Reviews
Publisher
Elsevier BV
Published
2021-06
Volume
38
Pages
51-57
ISSN
1526-0542 (ISSN-L)
OpenAlex
W3048349735
Cited by
369
References
36
FWCI
21.70
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Multi-system inflammatory syndrome in children & adolescents (MIS-C): A systematic review of clinical features and presentation. https://app.cochat.ai/papers/10.1016/j.prrv.2020.08.001
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Radia, T., Williams, N., Agrawal, P., Harman, K., Weale, J., Cook, J., & Gupta, A. (2021). Multi-system inflammatory syndrome in children & adolescents (MIS-C): A systematic review of clinical features and presentation. Paediatric Respiratory Reviews. https://doi.org/10.1016/j.prrv.2020.08.001

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