HEART c in case of coronary dilation, we recommend to refer to related AHA definitions [17] |
Hypotension. Please consider that some patients with MIS-C may have SHOCK as the presenting sign, or develop it rapidly during hospitalization. This shock is usually associated with capillary leak syndrome or is cardiogenic, without signs of hypoperfusion. Myocarditis (in some cases there is only cardiac enzyme elevation, without ultrasound abnormalities) Valvular insufficiency Cardiac conduction abnormalities Heart failure Coronary abnormalitiesc |
Respiratory |
Nasal drip/congestion Pharyngodynia/pharyngitis Cough Thoracic pain Respiratory distress Acute respiratory failure |
Skin and mucous membranes |
Polymorphous rash/perineal erythema Erythema of the palms and soles /induration of the hands and feets Cracked lips/strawberry tongue Nonexudative conjunctival injection Lymphnode enlargement |
Kidney |
Renal failure Oliguria and/or anuria Oedema |
Gastrointestinal |
Severe abdominal pain Diarrhea Nausea and/or vomiting Jaundice |
Musculoskeletal |
Arthralgia Myalgia Arthritis |
Central nervous system (CNS) |
Headache Irritability Meningism Confusion Seizures |