New: National alert in UK on #COVID19 in kids: “There is growing concern that a [covid-19] related inflammatory syndrome is emerging in children in the UK, or that there may be another, as yet unidentified, infectious pathogen associated with these cases.“ https://www.hsj.co.uk/acute-care/exclusive-national-alert-as-coronavirus-related-condition-may-be-emerging-in-children/7027496.article
2) alert was issued to GPs in North London by their clinical commissioning group. It has been sent to doctors more widely and is confirmed in a separate “urgent alert” issued last night by the Paediatric Intensive Care Society.
3) The alert to GPs, marked “significant alert” states: “Please refer children presenting with these symptoms as a matter of urgency.”
4) Both messages said: “The cases have in common overlapping features of toxic shock syndrome and atypical Kawasaki Disease with blood parameters consistent with severe #COVID19 in children.”
5) Abdominal pain and GI symptoms have been a common feature + cardiac inflammation. This observed in children with positive #SARSCoV2 infection as well as children who are PCR negative. Serological evidence of possible preceding SARS-CoV-2 infection has also been observed.”
6) Little is known so far about the issue, nor how widespread. The syndrome has characteristics of serious #covid19, but relatively few cases of serious effects/deaths from coronavirus in children. Some children have tested positive, some appear had
in past, but some have not.

7) confirmed at @PICSociety directly too. #COVID19 https://twitter.com/picsociety/status/1254508725227982848?s=21 https://twitter.com/picsociety/status/1254508725227982848
8) another British pediatric group confirms the authenticity of the alert. https://twitter.com/bpaiig/status/1254531532485771276?s=21 https://twitter.com/bpaiig/status/1254531532485771276
9) Now reported in multiple outlets: https://www.telegraph.co.uk/news/2020/04/27/nhs-alert-new-coronavirus-related-syndrome-putting-children/
10) Confirmed in another outlet. https://www.independent.co.uk/news/health/coronavirus-children-illness-nhs-doctor-warning-health-alert-a9485441.html