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Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children

Recently, it was reported that children recovering from coronavirus disease (COVID-19) developed multisystem inflammatory syndrome in children (MIS-C), which causes severe inflammation in multiple organs of the body. Because MIS-C is a new disease, the pathophysiology and prognosis are unknown. Owin...

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Autores principales: Kinoshita, Tokio, Nishimura, Yukihide, Umemoto, Yasunori, Koike, Yumi, Kouda, Ken, Ogawa, Takahiro, Suenaga, Tomohiro, Tajima, Fumihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8770978/
https://www.ncbi.nlm.nih.gov/pubmed/35071144
http://dx.doi.org/10.3389/fped.2021.810811
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author Kinoshita, Tokio
Nishimura, Yukihide
Umemoto, Yasunori
Koike, Yumi
Kouda, Ken
Ogawa, Takahiro
Suenaga, Tomohiro
Tajima, Fumihiro
author_facet Kinoshita, Tokio
Nishimura, Yukihide
Umemoto, Yasunori
Koike, Yumi
Kouda, Ken
Ogawa, Takahiro
Suenaga, Tomohiro
Tajima, Fumihiro
author_sort Kinoshita, Tokio
collection PubMed
description Recently, it was reported that children recovering from coronavirus disease (COVID-19) developed multisystem inflammatory syndrome in children (MIS-C), which causes severe inflammation in multiple organs of the body. Because MIS-C is a new disease, the pathophysiology and prognosis are unknown. Owing to a lack of studies on this subject, we herein provide information on rehabilitation for children with MIS-C. A 12-year-old male patient presented with systemic inflammatory symptoms after approximately 2 months since recovery from COVID-19. He was treated with cyclosporine and steroid pulse therapy after admission to our hospital. His general condition improved significantly within approximately 1 week. Thereafter, his lower legs turned dark purple and he experienced intense pain whenever the lower limbs hung below the heart, such as in the sitting position. The patient was referred to the rehabilitation department, as he had difficulties during standing and walking. Because the symptoms improved with elevation of the lower extremities, we considered that the pain was related to venous stasis. The pain reduced when an elastic bandage was applied for the prevention of venous stasis; therefore, exercise therapy was implemented while the patient wore the elastic bandage. The patient's lower extremity symptoms improved in 10 days. He was discharged after 16 days and could independently perform activities of daily living (ADL). The mechanism underlying the patient's pain could not be determined; however, rehabilitation was effective when combined with compression therapy using an elastic bandage.
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spelling pubmed-87709782022-01-21 Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children Kinoshita, Tokio Nishimura, Yukihide Umemoto, Yasunori Koike, Yumi Kouda, Ken Ogawa, Takahiro Suenaga, Tomohiro Tajima, Fumihiro Front Pediatr Pediatrics Recently, it was reported that children recovering from coronavirus disease (COVID-19) developed multisystem inflammatory syndrome in children (MIS-C), which causes severe inflammation in multiple organs of the body. Because MIS-C is a new disease, the pathophysiology and prognosis are unknown. Owing to a lack of studies on this subject, we herein provide information on rehabilitation for children with MIS-C. A 12-year-old male patient presented with systemic inflammatory symptoms after approximately 2 months since recovery from COVID-19. He was treated with cyclosporine and steroid pulse therapy after admission to our hospital. His general condition improved significantly within approximately 1 week. Thereafter, his lower legs turned dark purple and he experienced intense pain whenever the lower limbs hung below the heart, such as in the sitting position. The patient was referred to the rehabilitation department, as he had difficulties during standing and walking. Because the symptoms improved with elevation of the lower extremities, we considered that the pain was related to venous stasis. The pain reduced when an elastic bandage was applied for the prevention of venous stasis; therefore, exercise therapy was implemented while the patient wore the elastic bandage. The patient's lower extremity symptoms improved in 10 days. He was discharged after 16 days and could independently perform activities of daily living (ADL). The mechanism underlying the patient's pain could not be determined; however, rehabilitation was effective when combined with compression therapy using an elastic bandage. Frontiers Media S.A. 2022-01-06 /pmc/articles/PMC8770978/ /pubmed/35071144 http://dx.doi.org/10.3389/fped.2021.810811 Text en Copyright © 2022 Kinoshita, Nishimura, Umemoto, Koike, Kouda, Ogawa, Suenaga and Tajima. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Kinoshita, Tokio
Nishimura, Yukihide
Umemoto, Yasunori
Koike, Yumi
Kouda, Ken
Ogawa, Takahiro
Suenaga, Tomohiro
Tajima, Fumihiro
Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children
title Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children
title_full Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children
title_fullStr Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children
title_full_unstemmed Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children
title_short Case Report: Rehabilitation for Lower Extremity Pain Due to Venous Stasis in a Patient With Multisystem Inflammatory Syndrome in Children
title_sort case report: rehabilitation for lower extremity pain due to venous stasis in a patient with multisystem inflammatory syndrome in children
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8770978/
https://www.ncbi.nlm.nih.gov/pubmed/35071144
http://dx.doi.org/10.3389/fped.2021.810811
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