COVID-19: ACR issues draft pediatric guidance
medwireNews: The American College of Rheumatology (ACR) has issued two draft clinical guidance documents for the management of pediatric patients during the COVID-19 pandemic.
The first provides recommendations for pediatric rheumatologists on the management of children with rheumatic diseases, including guidance on minimizing SARS-CoV-2 infection risk, and when to start, stop, or reduce their medications. The guidance covers various situations, including the presence and absence of exposure to SARS-CoV-2, asymptomatic infection, and symptomatic COVID-19.
The second guidance document provides direction on the management of inflammatory syndromes associated with SARS-CoV-2 infection in children and adolescents, and addresses multisystem inflammatory syndrome in children (MIS-C), a condition characterized by inflammation, fever, and multiorgan dysfunction that can occur late in the COVID-19 disease course.
The guidance advises on the diagnosis of MIS-C, discusses the similarities and differences relative to Kawasaki disease, and provides recommendations on cardiac management, immunomodulatory treatment, and antiplatelet and anticoagulation therapy.
Both guidance documents have been released in draft form, and have been submitted for publication in a peer-reviewed journal.
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