BSPGHAN 2021 Virtual Annual Meeting

27- 29 April 2021

THE GASTROINTESTINAL PRESENTATION OF PIMS-TS/ MIS-C IN A COHORT AT A TERTIARY CENTRE PAEDIATRIC CENTRE

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Rajiv Mohan
Rajiv Mohan
5 months ago
  1. If FC done during the admission what management will be done differently in terms of raised FC?
  2. What happed to Ileo-colitis in follow-up imaging? 
Edward Gaynor
Edward Gaynor
5 months ago
Reply to  Rajiv Mohan

Hi Rajiv,

In regards to the faecal calprotectin from patients in the first wave, the impact was limited due to the low numbers who underwent the test. As mentioned in the poster, GI presentations were not actively consider within the Delphi-process guidance. One child had persistently raised FCP and mild symptoms (abdominal pain, mouth ulcers), and underwent endoscopy at 5.5 months months from the PIMS-TS episode. For the second wave, FCP was performed in the majority during their admission (often on admission) – for those who had elevated FCPs, they had abdominal imaging performed regardless of symptom profile and formal gastroenterology follow-up at the 6 week mark. As expected ileitis or other GI pathology was seen, although mostly resolved by the 6 week or 12 week mark.

All but one child had resolution of their ileocolitis by 3 months in the first wave. We’re analysing data for the second wave, and will be publishing this shortly.

Rajiv Mohan
Rajiv Mohan
5 months ago
Reply to  Edward Gaynor

Thanks Ed for this information.
Data from the second wave will be useful to know. I am sure there will be similar presentation of cases all around the country. We also had good number of cases in Leicester with similar presentation.
BW