Unleashing the mysterious link between COVID-19 and a famous childhood vasculitis: Kawasaki disease

Abstract Background Coronavirus disease 2019 (COVID-19) emerged as a small outbreak in Wuhan rapidly progressing into the deadliest pandemic since the Spanish flu of 1918. The disease was deemed trivial in children, until the reporting, few days ago, of an emerging pediatric multi-inflammatory syndr...

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Main Authors: Antoine Fakhry AbdelMassih (Author), Aisha Said AbdelAzeam (Author), Aya Ayad (Author), Aya Yasser Kamel (Author), Ayah Khalil (Author), Basma Kotb (Author), Dina Waheed (Author), Esraa Menshawey (Author), Fady Sefein (Author), Farah Taha (Author), Habiba-Allah Ismail (Author), Ibrahim Osman (Author), John Iskander (Author), Lama El Wakil (Author), Lara Rashad (Author), Mariem Badr Arsanyous (Author), Meryam El Shershaby (Author), Mina Mansour (Author), Mirette Ashraf (Author), Nada Hafez (Author), Nadeen Mohamed Abuzeid (Author), Noheir Mahmoud-Nashaat AbdElSalam (Author), Nouran Gamal Hafez (Author), Nourhan Youssef (Author), Rafeef Hozaien (Author), Rana Saeed (Author), Dina Kamel (Author), Manal Ahmed AbdelHameed (Author), Salma Ali (Author)
Format: Book
Published: SpringerOpen, 2020-07-01T00:00:00Z.
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100 1 0 |a Antoine Fakhry AbdelMassih  |e author 
700 1 0 |a Aisha Said AbdelAzeam  |e author 
700 1 0 |a Aya Ayad  |e author 
700 1 0 |a Aya Yasser Kamel  |e author 
700 1 0 |a Ayah Khalil  |e author 
700 1 0 |a Basma Kotb  |e author 
700 1 0 |a Dina Waheed  |e author 
700 1 0 |a Esraa Menshawey  |e author 
700 1 0 |a Fady Sefein  |e author 
700 1 0 |a Farah Taha  |e author 
700 1 0 |a Habiba-Allah Ismail  |e author 
700 1 0 |a Ibrahim Osman  |e author 
700 1 0 |a John Iskander  |e author 
700 1 0 |a Lama El Wakil  |e author 
700 1 0 |a Lara Rashad  |e author 
700 1 0 |a Mariem Badr Arsanyous  |e author 
700 1 0 |a Meryam El Shershaby  |e author 
700 1 0 |a Mina Mansour  |e author 
700 1 0 |a Mirette Ashraf  |e author 
700 1 0 |a Nada Hafez  |e author 
700 1 0 |a Nadeen Mohamed Abuzeid  |e author 
700 1 0 |a Noheir Mahmoud-Nashaat AbdElSalam  |e author 
700 1 0 |a Nouran Gamal Hafez  |e author 
700 1 0 |a Nourhan Youssef  |e author 
700 1 0 |a Rafeef Hozaien  |e author 
700 1 0 |a Rana Saeed  |e author 
700 1 0 |a Dina Kamel  |e author 
700 1 0 |a Manal Ahmed AbdelHameed  |e author 
700 1 0 |a Salma Ali  |e author 
245 0 0 |a Unleashing the mysterious link between COVID-19 and a famous childhood vasculitis: Kawasaki disease 
260 |b SpringerOpen,   |c 2020-07-01T00:00:00Z. 
500 |a 10.1186/s43054-020-00029-9 
500 |a 2090-9942 
520 |a Abstract Background Coronavirus disease 2019 (COVID-19) emerged as a small outbreak in Wuhan rapidly progressing into the deadliest pandemic since the Spanish flu of 1918. The disease was deemed trivial in children, until the reporting, few days ago, of an emerging pediatric multi-inflammatory syndrome mimicking Kawasaki disease (KD). Main body This report reveals that coronaviridae were implicated in induction of several post-infectious vasculitides, namely, KD, AHEI, and HSP. This occurs in genetically susceptible individuals to vascular inflammation. Shared genetic susceptibilities between KD and CoV include genes encoding for CD 40, HLAB-15:03, and ACE. This leads to augmented inflammation with hypersecretion of cytokines especially IL-6. Conclusion The revealed relationships between KD and CoV can help to predict the risk of KD in COVID-19 patients through screening levels of upregulated cytokines. It might also signify that classic treatment of KD with IVIG might need to be replaced with anti-cytokine therapy in COVID-19 patients. 
546 |a EN 
690 |a COVID-19 
690 |a Kawasaki disease, Shared genetic and inflammatory pathways 
690 |a Upregulated inflammation 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Egyptian Pediatric Association Gazette, Vol 68, Iss 1, Pp 1-7 (2020) 
787 0 |n http://link.springer.com/article/10.1186/s43054-020-00029-9 
787 0 |n https://doaj.org/toc/2090-9942 
856 4 1 |u https://doaj.org/article/cd34f067de984c4ebbcdaa4f7cc4ec6c  |z Connect to this object online.