Pediatric long-COVID: An overlooked phenomenon?

Caroline L.H. Brackel*, Coen R. Lap, Emilie P. Buddingh, Marlies A. van Houten, Linda J.T.M. van der Sande, Eveline J. Langereis, Michiel A.G.E. Bannier, Marielle W.H. Pijnenburg, Simone Hashimoto, Suzanne W.J. Terheggen-Lagro

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Background: Long-COVID is a well-documented multisystem disease in adults. Far less is known about long-term sequelae of COVID in children. Here, we report on the occurrence of long-COVID in Dutch children. Patients and Methods: We conducted a national survey asking Dutch pediatricians to share their experiences on long-COVID in children. We furthermore describe a case series of six children with long-COVID to explore the clinical features in greater detail. Results: With a response rate of 78% of Dutch pediatric departments, we identified 89 children, aged 2–18 years, suspected of long-COVID with various complaints. Of these children, 36% experienced severe limitations in daily function. The most common complaints were fatigue, dyspnea, and concentration difficulties with 87%, 55%, and 45% respectively. Our case series emphasizes the nonspecific and broad clinical manifestations seen in post-COVID complaints. Conclusion: Our study shows that long-COVID is also present in the pediatric population. The main symptoms resemble those previously described in adults. This novel condition demands a multidisciplinary approach with international awareness and consensus to aid early detection and effective management.

Original languageEnglish
Article number1
Pages (from-to)2495-2502
Number of pages8
JournalPediatric Pulmonology
Issue number8
Publication statusPublished - Aug 2021

Bibliographical note

Funding Information:
The authors?thank the Dutch Pediatric Society for their help in distributing our survey.

Publisher Copyright:
© 2021 Wiley Periodicals LLC

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  • EMC OR-01-54-02


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