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Symptoms and Effects of COVID 19 Discussion

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Health & Medical

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It is also important to note that even though we are still learning about the symptoms and effects
of COVID-19, I found some literature from the early stages of the COVID-19 pandemic, more
exactly spring and summer 2020, that supports a “postviral immunologic reaction resulting in a
multisystem inflammatory syndrome in children (MIS-C).” (Halepas et al.,2020)
The study reports the rates of documented oral and oropharyngeal manifestations among
pediatric patients and determines the association of these findings with other MIS-C symptoms.
Halepas (2020) stated that “The mean (standard deviation) age of MIS-C patients was 9.0 (5.0)
years (range, 1.3-20.0 years), and there was no obvious sex difference (51.1% male, 48.9%
female). With respect to oral findings, 23 patients (48.9%) had red or swollen lips, whereas only
5 (10.6%) had a strawberry tongue. Oral or oropharyngeal findings were associated significantly
with the presence of systemic rash (P = .04) and conjunctivitis (P = .02).” As you can see
strawberry tongue was present in 10.6% of the children infected with COVID-19.
Halepas (2020) concludes that the presence of oral or oropharyngeal changes may be an early
indicator of MIS-C and should be considered suggestive of MIS-C in the setting of COVID-19
infection.
References
Halepas, S., Lee, K. C., Myers, A., Yoon, R. K., Chung, W., & Peters, S. M. (2021). Oral
manifestations of COVID-2019-related multisystem inflammatory syndrome in children: a
review of 47 pediatric patients. Journal of the American Dental Association (1939), 152(3), 202
208. https://doi.org/10.1016/j.adaj.2020.11.014

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It is also important to note that even though we are still learning about the symptoms and effects of COVID-19, I found some literature from the early stages of the COVID-19 pandemic, more exactly spring and summer 2020, that supports a “postviral immunologic reaction resulting in a multisystem in ...
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