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Initial reports from the COVID-19 pandemic suggested that children were less susceptible to the disease. Subsequently, a severe and novel pediatric disorder, termed multisystem inflammatory syndrome in children (MIS-C), was described. Although the exact pathophysiology is currently unknown, the temporal relationship of MIS-C to acute COVID-19 disease suggests that the pathogenesis involves postinfectious immune dysregulation with an exaggerated immune response, leading to cytokine storm and hyperinflammation in multiple organs.

Most patients with MIS-C have had a prior infection with, or an exposure to, someone with acute COVID-19 disease in the 2 to 4 weeks prior to developing signs and symptoms....

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