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Review
. 2022 Oct 20;12(10):1652.
doi: 10.3390/life12101652.

Nutraceuticals for Complementary Treatment of Multisystem Inflammatory Syndrome in Children: A Perspective from Their Use in COVID-19

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Review

Nutraceuticals for Complementary Treatment of Multisystem Inflammatory Syndrome in Children: A Perspective from Their Use in COVID-19

Diego Estrada-Luna et al. Life (Basel). .

Abstract

Multisystem inflammatory syndrome in children (MIS-C) has been widely reported in some children diagnosed with SARS-CoV-2. Clinical signs of MIS-C are manifested at 2 to 4 weeks after SARS-CoV-2 infection, where elevated biomarkers of inflammation and cardiac dysfunction are the hallmark of this syndrome when infection or exposure to SARS-CoV-2 has been confirmed. However, after two years of acknowledgment, MIS-C treatment is still under research to reach safety and effectiveness in the acute phase in children. Therefore, in this review, we discuss the potential use of natural compounds with antioxidant and anti-inflammatory effects to reduce collateral damage caused by hyperinflammation in MIS-C pathology for new research in treatment and interventions.

Keywords: children; multisystem inflammatory syndrome; nutraceutical compounds.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
MIS-C case definition according to international guidelines. Abbreviations: AAP, American Academy of Pediatrics; ACR, American College of Rheumatology; CDC, Centers for Disease Control and Prevention; NS, no specified; PCR, polymerase chain reaction, RCPCH, Royal College of Paediatrics and Child Health; WHO, World Health Organization.
Figure 2
Figure 2
Effect of pharmacological treatment for MIS-C on clinical signs at admission, organ dysfunction and inflammation. Downward arrows indicate the decrease in signs, symptoms, and markers of inflammation by treatment with aspirin (trapezoid), IVIG (circle), and steroids (hexagon). Abbreviations: CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; ICU, intensive care unit; IVIG, intravenous immunoglobulin.
Figure 3
Figure 3
Hyperinflammatory state and oxidative stress in immunological response in MIS-C after SARS-CoV-2 infection.
Figure 4
Figure 4
Potential nutraceutical compounds for complementary treatment of MIS-C by its antioxidant and anti-inflammatory properties to regulate cytokine storm and reduce organ damage.

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