Symptoms of ‘new inflammatory illness linked to Covid in kids’ outlined after first major review of cases – The Sun, Thesun.co.uk
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THE symptoms for the mysterious skin illness affecting kids which has been linked to Covid – have been outlined in a new study.
Expert reaction has been published by the Royal College of Pediatricians and Child Health about inflammatory illness which appears to be similar to Kawasaki’s syndrome.
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Pictures show a six-month-old baby girl’s legs were covered in a red, bumpy rash
However, the guidelines set out by the study are for doctors and parents are urged to follow the normal advice if their child is unwell.
The symptoms include persistent fever, inflammation and single or multi organ dysfunction.
Prof Rosalind Smyth, Director and Professor of Child Health, UCL Great Ormond St Institute of Child Health, said the illness is “very rare.”
She said: “At the minute it seems that this condition is very rare.
“One of the purposes of the current alerts and guidance is to increase awareness, so that all possible cases can be identified. This will help to identify the true incidence. ”
MORE TESTING NEEDED
The expert said that further testing is needed to understand the illness further.
She said: “We know very little about the cause and mechanisms. Indeed, our understanding of the mechanisms of the condition which it may resemble, Kawasaki’s syndrome, is incomplete.
“Working out a possible relationship to COVID – will depend on testing for the virus, repeatedly during the course of the illness, and for the antibody , following recovery, to work out if there is a temporal relationship with SARS-CoV-2, in some, or all, cases.
Professor Smyth insisted the “great majority” of children who contract coronavirus develop “mild symptoms only”.
New symptoms for mystery illness
Persistent fever
Inflammation – elevated CRP levels (a marker in the blood) for example
Evidence of single or multi organ dysfunction (shock, cardiac, renal, respiratory, gastrointestinal)
Neurological disorder – includes kids presenting with signs of Kawasaki disease
)
Doctors in the US noted that a baby with the rash had conjunctivitis as well as a fever
She said experts still do not know why cases of the mystery illness are not being reported sin all countries which are battling covid – outbreaks.
Last week, photos emerged showing the first-known case of a child suffering from the new coronavirus-related condition.
Medics in the US may have identified the first case in a six-month-old girl in April.
The infant, believed to be from California, was taken to hospital after developing a fever and refusing to eat.
She did not have a cough or congestion and doctors diagnosed her with a viral infection.
‘LINKED’ TO COVID 38
The following day, the infant broke out in a red, blotchy rash which persisted for another two days before her worried parents brought her back to see medics.
She had also developed conjunctivitis and dry cracked lips, while her temperature was still high at C and she was starting to suffer from mild congestion.
Doctors also carried out a chest x-ray which showed a faint opacity in the middle of her left lung.
They noted that throughout her illness, she hadn’t come into contact with anyone who had been knowingly sick.
The youngster’s hands were swollen and covered in a red, blotchy rash
Her nine-year-old sibling had upper respiratory symptoms three weeks prior to the infant falling ill.
The family had also been self-isolating due to the coronavirus pandemic and hadn’t left the house for school or work for a week before she developed a fever.
But based on her symptoms, they sent her to the emergency department to be tested for Covid – .
Doctors suspected she could be suffering from Kawasaki disease – a rare blood vessel disorder – and she was admitted to the children’s ward.
By this point, she was on day five of her illness and doctors noted prominent lumps covering her tongue as well as a mottled red rash on her legs and hands – which had left them swollen.
She was treated with high-dose aspirin and intravenous immunoglobulin, also called IVIG, which is a solution of antibodies taken from healthy states.
RED RASH)
An echocardiogram – a scan used to look at the heart and nearby blood vessels – came back normal without any evidence of coronary dilation or aneurysm.
The evening before she was discharged, her Covid – 27 test came back positive from the Stanford Clinical Virology Laboratory.
Doctors said the Public Health Department was notified, and the family was instructed to quarantine at home for (days from the positive test date.)
“To our knowledge, this is the first described case of KD [Kawasaki disease] with concurrent Covid – (infection, ”the authors wrote.)
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The report, they said, is intended to inform others caring for pediatric patients affected by Covid – as clinical presentation patterns evolve.
Up to a dozen children in the UK have reportedly ended up in intensive care fighting for their lives after developing the bizarre syndrome.
According to the Guardian , at least one child had to be put an aggressive form of life support after their heart and lungs started to fail.
NHS bosses were so concerned that they sent an urgent alert to doctors at the weekend warning of a rise in cases in recent weeks.
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Chris Whitty and Stephen Powis on link between coronavirus and cases of ‘inflammatory syndrome’ in children
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The case was published online in the journal Hospital Pediatrics on April 7. 
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