Coronavirus in children, the pediatrician Ravelli: “Maybe it’s not Kawasaki but a more serious syndrome”

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Coronavirus in children, what link is there with Kawasaki disease that is affecting several small patients especially in Great Britain? The pediatrician expressed himself on the matter today Angelo Ravelli, director of the Rheumatology Clinic of the Gaslini hospital in Genoa. In an interview with OpenRavelli explained that Covid-related syndrome is not necessarily Kawasaki’s.

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The reason? Some symptoms and characteristics which are different from Kawasaki. “Patients experience abdominal pain, vomiting, myocardial involvement which are not typical symptoms of Kawasaki. In addition, in some cases, lower platelet levels and lymphocyte declines that did not correspond to that syndrome were found, “explains the pediatrician and professor.

For Ravelli, these forms are not only different from Kawasaki, but are also more serious: “Syndromes from macrophage activations and toxic shock syndromes have been found in children following coronavirus infection.” Possible complications in Kawasaki, but “in children observed during the pandemic they are much more frequent, especially in British and American patients”. In Italy, however, the disease “seems to have more compatible characteristics to Kawasaki: we have had a broader picture, in the Anglo-Saxon world we have only interfaced with the most serious cases,” adds the pediatrician.

The numbers are very different in Italy and abroad: “In New York alone, there have been 160 cases in no time», While in Italy« there are about twenty cases in Bergamo and 6 at Gaslini in Genoa », and there may have been« between 100 and 150 total cases ». However, the syndrome does not seem fatal: “Since the beginning of the epidemic, no one has died in Italy – continues Ravelli – in New York there have been three deaths, one in France. Fortunately, Italian pediatricians were the first in the world to share and spread the alert. “

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