WHO releases clinical case definition for post #COVID19 condition or ‘#LongCovid’ in children and adolescents

Dx Revision Watch · Feb 17, 2023

https://twitter.com/user/status/1626256750952460291

Dx Revision Watch · Feb 17, 2023

https://www.who.int/publications/i/...-condition-CA-Clinical-case-definition-2023-1

A clinical case definition for post COVID-19 condition in children and adolescents by expert consensus, 16 February 2023
16 February 2023 | COVID-19: Clinical care

WHO TEAM
Health Care Readiness, WHO Headquarters (HQ)
WHO REFERENCE NUMBER: WHO/2019-nCoV/Post_COVID-19_condition/CA/Clinical_case_definition/2023.1

Download PDF [4.7MB]: https://apps.who.int/iris/rest/bitstreams/1491580/retrieve

Wyva · Feb 17, 2023

After a quick glance, this seems to be worse than the one created for adults with LC.

Post COVID-19 condition in children and adolescents occurs in individuals with a history of confirmed or probable SARS-CoV-2 infection, when experiencing symptoms lasting at least 2 months which initially occurred within 3 months of acute COVID-19.

Current evidence suggests that symptoms more frequently reported in children and adolescents with post-COVID-19 condition compared with controls are fatigue, altered smell/anosmia and anxiety. Other symptoms have also been reported.*

Symptoms generally have an impact on everyday functioning such as changes in eating habits, physical activity, behaviour, academic performance, social functions (interactions with friends, peers, family) and developmental milestones.

Symptoms may be new onset following initial recovery from an acute COVID-19 episode or persist from the initial illness. They may also fluctuate or relapse over time.

Workup may reveal additional diagnoses, but this does not exclude the diagnosis of post COVID-19 condition. This can be applied to children of all ages, with age-specific symptoms and impact on everyday function taken into consideration.

* Symptoms described thus far in children and adolescents are non-specific and can occur with other childhood infections and illnesses. Due to the lack of empirical evidence, a broad list of potential post COVID-19 condition symptoms affecting different organ systems should be considered until more data are available. See below

Chest pain- Cognitive difficulties - Cough - Diarrhoea - Dizziness - Dyspnoea - Earache/ringing in ears - Fever - Headache - Insomnia - Joint pain or swelling - Light sensitivity - Loss of appetite - Mood swings - Myalgia - Nausea - Palpitations - Postural symptoms - Rash - Stomach ache - Sore eyes or throat
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CFS is mentioned but they don't really seem to know what they are talking about:

The clinical features included blisters/skin peeling, cold hands/feet, dark circles under eyes, discoloured fingers/toes, dermatological symptoms, extreme paleness, hair loss, hyperhidrosis, red/cracked lips, red welts, tingling feeling, twitches, chronic fatigue syndrome, impaired attention, listlessness, muscle weakness, orthostatic intolerance, tiredness/weakness, dizziness when standing, altered taste, anosmia/ageusia or parosmia/eusomia, body weight changes, constipation, problem swallowing, skipping meals, vomiting, depression, memory impairment, psychiatric symptoms, sadness, unexplained irritability, change in menstruation, chills, enlarged lymph nodes, neurological symptoms, problem seeing/blurred vision, problem speaking/communicating, seizures/fits, stiffness, hoarse voice, chest tightness, hearth rhythm disturbances, pulmonary embolism, respiratory symptoms, shortness of breath with activity, tachypnoea, nasal congestion and wheezing.
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There is a long list of studies with a short summary of their findings for each. Here CFS is mentioned again as such a "finding":

Chronic fatigue syndrome was diagnosed in only 0% of children with COVID-19
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In the same list PEM is mentioned three times (meaning three different studies). But only in that list of summaries from what I can see.

Andy · Feb 18, 2023

"Long Covid Kids welcome the publication of a WHO clinical case definition of Long COVID in children and young people. This was much needed and provides parity with the definition for adults. The definition was developed during a joint exercise between experts and community members with lived experience, with the goal of reaching a consensus, and we appreciated being invited to take part in this process. However, we are very disappointed in the published content and would like to highlight that there are widespread concerns regarding the published definition. In our opinion, the new WHO clinical case definition for Long Covid in children provides a misleading representation of the disease."

https://www.longcovidkids.org/post/who-clinical-definition-for-long-covid-in-kids

https://twitter.com/user/status/1626932540777832448

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TiredSam · Feb 19, 2023

The comments under that article on the website are unanimously ungrateful.

RedFox · Feb 20, 2023

The headline was exciting, the details were a bummer.

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WHO releases clinical case definition for post #COVID19 condition or ‘#LongCovid’ in children and adolescents

Dx Revision Watch Senior Member (Voting Rights)

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WHO releases clinical case definition for post #COVID19 condition or ‘#LongCovid’ in children and adolescents

Dx Revision Watch Senior Member (Voting Rights)

Dx Revision Watch Senior Member (Voting Rights)

Wyva Senior Member (Voting Rights)

Andy Committee Member

TiredSam Committee Member

RedFox Senior Member (Voting Rights)

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