Dr. Howard Smith Oncall

  Vidcast:  https://youtu.be/v6pzU4nlni8   Pediatricians from children’s hospitals across the US just published their study of 186 children in 26 states who developed so-called MIS-C.     This disease is uncommon, 2 in 100,00, and begins 2-4 weeks after CoVid infection. Median age was 8.2 years, 62% were boys, and 70% tested CoVid19 positive.There was gastrointestinal inflammation in 92%, cardiovascular issues in 80% with coronary artery aneurysms in up to 20%, blood disease in 76%, skin or mucous membrane disease in 74%, and lung consequences in 70%.  Eighty percent went to the ICU, 20% needed vents, and 2% died.   For treatment, 77% received immune globulin, 49% received steroids, and 20% received cytokine suppression therapy.   https://www.nejm.org/doi/full/10.1056/NEJMoa2021680?query=C19&cid=DM94780_NEJM_Registered_Users_and_InActive&bid=222612563   https://www.nejm.org/doi/full/10.1056/NEJMe2023158   #covid #misc #kawasaki