Inclusion of Multisystem Inflammatory Syndrome in Children and Adolescents Temporally Related to COVID -19 in the Differential Diagnosis of Kawasaki Disease

摘要

It was an interesting and informative read to go through the IAP position paper on Kawasaki disease (KD) published recently [1]. It was indeed necessary to have a nation-wide consensus, which is suitable for India where the distribution of health resources is unequal and constrained. KD has become one of the leading causes of acquired heart disease in many developed countries of the world [1]. With almost a year of coronavirus disease 19 (COVID-19) pandemic, a new hyper-inflammatory syndrome affecting children has been observed, and variously labeled as Multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19 or Pediatric inflammatory multi- system syndrome-temporally associated with SARS-CoV-2 (PIMS-TS) [2,3]. This condition has clinical features which overlap with other inflammatory diseases in childhood like Kawasaki disease (KD) and toxic shock syndrome (TSS) [2].