Why is it important to establish a registry for complicated conditions such as MIS-C and a diagnostic and therapeutic algorithm during a pandemic
Keywords:
MIS-C, multisystem inflammatory syndrome in children, SARS-CoV-2, COVID-19, risk stratification, biomarkers, registry, pediatric patientsAbstract
Multisystem inflammatory syndrome in children (MIS-C), associated with SARS-CoV-2, represents a serious complication requiring a multidisciplinary approach. Dur-ing the COVID-19 pandemic, the idea of establishing a national registry and develop-ing an algorithm for stratifying patients at risk of developing MIS-C was proposed. However, due to limitations in the national information system and the lack of struc-tured data, such a registry was not implemented. In contrast, the development of an algorithm allows for early assessment of disease severity. Data from both national and international studies on MIS-C highlight the need for national registries and integrated healthcare systems to improve the diagnosis and management of rare conditions.
References
Kwak JH, Lee SY, Choi JW; Korean Society of Kawasaki Disease. Clinical features, diagnosis, and outcomes of multisystem inflammatory syndrome in children associated with coronavirus disease 2019. Clin Exp Pediatr. 2021 Feb;64(2):68-75. doi: 10.3345/cep.2020.01900. Epub 2020 Dec 30.
Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with SARS-CoV-2 Infection 2023 Case Definition. Available at https://ndc.services.cdc.gov/case-definitions/multisystem-inflammatory-syndrome-in-children-mis-c-2023/
Lazova S, Gerenska D, Slabakova Y, Velikova T. Immunological features of the multisystem inflammatory syndrome associated with SARS-CoV-2 in children. Am J Clin Exp Immunol. 2022 Aug 15;11(4):64-71.
El Rassi C, El Darzi R, Abou Mansour M, Arabi M. MIS-C: Diagnosis, Management, and Outcomes. Open Forum Infect Dis. 2025 Dec 19;13(1):ofaf762. doi: 10.1093/ofid/ofaf762.
La Torre F, Elicio MP, Monno VA, et al. Incidence and Prevalence of Multisystem Inflammatory Syndrome in Children (MISC) in Southern Italy. Children (Basel). 2023 Apr 23;10(5):766. doi: 10.3390/children10050766.
Vasilev G, Gorelyova N, Shumnalieva R, et al. Markers for the Severity of Multisystem Inflammatory Syndrome in Children: A Multivariate Analysis. Int J Pediatrics 2026. In press
El Rassi C, El Darzi R, Abou Mansour M, Arabi M. MIS-C: Diagnosis, Management, and Outcomes. Open Forum Infect Dis. 2025 Dec 19;13(1):ofaf762. doi: 10.1093/ofid/ofaf762.
Abbas Q, Ali H, Amjad F, et al. Clinical presentation, diagnosis and management of multisystem inflammatory syndrome in children (MIS-C): a systematic review. BMJ Paediatrics Open. 2024;8:e002344. https://doi.org/10.1136/bmjpo-2023-002344
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