Symptoms of the mysterious children’s skin condition that has been linked to Covid-19 have been described in a new study.
An expert response has been published by the Royal College of Pediatricians and Child Health regarding inflammatory conditions that appear to be similar to Kawasaki syndrome.
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Images emerged of children diagnosed with coronavirus with red rashes on their skin
However, the guidelines established by the study are intended for doctors and parents are advised to follow normal advice if their child is unwell.
Symptoms include persistent fever, inflammation, and dysfunction of one or more organs.
Professor Rosalind Smyth, Director and Professor of Child Health, UCL Great Ormond St Institute of Child Health, said the disease is “very rare”.
She said, “By the minute, it looks like this condition is very rare.
“One of the objectives of the current alerts and advice is to raise awareness, so that all possible cases can be identified. This will help identify the real impact. “
MORE TESTS REQUIRED
The expert said more tests are needed to better understand the disease.
She said, “We know very little about the cause and the mechanisms. Indeed, our understanding of the mechanisms of the disease which it may resemble, Kawasaki syndrome, is incomplete.
“Developing a possible relationship with COVID-19 will depend on testing for the virus several times during the course of the disease and on the antibody, after recovery, to determine if there is a temporal relationship with SARS-CoV-2, in some or all cases.
Professor Smyth insisted that the “vast majority” of children who contract a coronavirus develop “mild symptoms only”.
New symptoms for a mysterious disease
- Persistent fever
- Inflammation – high levels of CRP (a marker in the blood) for example
- Evidence of dysfunction of one or more organs (shock, cardiac, renal, respiratory, gastrointestinal)
- Neurological disorder – includes children with signs of Kawasaki disease
She said experts still don’t know why cases of the mysterious disease go unreported in all countries battling the epidemics of Covid-19.
Photos appeared last week showing the first known case of a child with the new coronavirus disease.
Doctors in the United States may have identified the first case in a six-month-old girl in April.
The baby, who is believed to be from California, was taken to hospital after developing a fever and refusing to eat.
She had no coughs or congestion, and doctors diagnosed her with a viral infection.
“LINKED” TO COVID 19
The next day, the child erupted in a red, spotty rash that persisted for two days before his concerned parents took him back to the doctors.
She also developed conjunctivitis and dry, chapped lips while her temperature was still high at 38 ° C and she began to experience mild congestion.
Doctors also performed a chest X-ray which showed low cloudiness in the middle of his left lung.
They noted that throughout her illness, she did not come into contact with anyone who had been knowingly ill.
Her nine-year-old brother had upper respiratory symptoms three weeks before the child became ill.
The family was also self-isolated due to the coronavirus pandemic and had not left home for school or work for a week before they developed a fever.
But based on her symptoms, they sent her to the emergency room for a test for Covid-19.
Doctors suspected that she may be suffering from Kawasaki disease – a rare disease of the blood vessels – and she was admitted to the service of children.
At this point, she was on the fifth day of her illness and the doctors noticed prominent bumps covering her tongue as well as a spotted red rash on her legs and hands – which had swollen them.
She was treated with high-dose aspirin and intravenous immunoglobulins, also called IVIG, which is a solution of antibodies taken from healthy donors.
An echocardiogram – a scanner used to look at the heart and nearby blood vessels – returned to normal with no signs of coronary dilation or aneurysm.
The day before its release, its Covid-19 test returned positive from the Stanford Clinical Virology Laboratory.
Doctors said the public health department was informed and the family was asked to quarantine at home for 14 days from the date of the positive test.
She was released 48 hours after completing treatment with low-dose aspirin IVIG, with follow-up plans for repeated echocardiographic evaluation two weeks after discharge – after the mandatory 14-day quarantine.
The case was published online in the journal Hospital Pediatrics on April 7.
“To our knowledge, this is the first described case of KD [Kawasaki disease] with concomitant Covid-19 infection, ”wrote the authors.
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The report, they said, is intended to inform others caring for pediatric patients affected by Covid-19 as clinical presentation patterns change.
In the UK, up to a dozen children in critical care have reportedly fought for their lives after developing a bizarre syndrome.
According to the Guardian, at least one child must have received some form of aggressive life support after his heart and lungs began to fail.
NHS bosses were so worried that they sent an urgent alert to doctors over the weekend to warn of an increase in the number of cases in recent weeks.
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