COVID-19 – Considerations for the paediatric rheumatologist
Identifieur interne : 000914 ( 2020/Analysis ); précédent : 000913; suivant : 000915COVID-19 – Considerations for the paediatric rheumatologist
Auteurs : Christian M. Hedrich [Royaume-Uni]Source :
- Clinical Immunology (Orlando, Fla.) [ 1521-6616 ] ; 2020.
Abstract
The novel coronavirus SARS-CoV2 is a threat to the health and well-being of millions of lifes across the globe. A significant proportion of adult patients require hospitalisation and may develop severe life-threatening complications. Children, on the other hand, can carry and transmit the virus, but usually do not develop severe disease. Mortality in the paediatric age-group is relatively low. Differences in virus containment and clearance, as well as reduced inflammation-related tissue and organ damage may be caused by age-specific environmental and host factors. Since severe complications in adults are frequently caused by uncontrolled immune responses and a resulting “cytokine storm” that may be controlled by targeted blockade of cytokines, previously established treatment with immunosuppressive treatments may indeed protect children from complications.
Url:
DOI: 10.1016/j.clim.2020.108420
PubMed: 32283324
PubMed Central: 7151358
Affiliations:
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PMC:7151358Le document en format XML
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<affiliation wicri:level="1"><nlm:aff id="af0010">Department of Paediatric Rheumatology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool, UK</nlm:aff>
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<wicri:regionArea>Department of Paediatric Rheumatology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool</wicri:regionArea>
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<front><div type="abstract" xml:lang="en"><p>The novel coronavirus SARS-CoV2 is a threat to the health and well-being of millions of lifes across the globe. A significant proportion of adult patients require hospitalisation and may develop severe life-threatening complications. Children, on the other hand, can carry and transmit the virus, but usually do not develop severe disease. Mortality in the paediatric age-group is relatively low. Differences in virus containment and clearance, as well as reduced inflammation-related tissue and organ damage may be caused by age-specific environmental and host factors. Since severe complications in adults are frequently caused by uncontrolled immune responses and a resulting “cytokine storm” that may be controlled by targeted blockade of cytokines, previously established treatment with immunosuppressive treatments may indeed protect children from complications.</p>
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