According to the World Health Organisation, as of October 2022, there have been 55,560,329 reported cases of SARS‐COV‐2 in patients under 19 years old. It is estimated that about 0.06% of these patients may develop MIS‐C, representing more than 2 million children worldwide. This systematic review and meta‐analysis examined the pooled prevalence of cardiovascular manifestation and cardiac complications in children hospitalised with MIS‐C. The PROSPERO register number is CRD42022327212. We included case‐report studies, case‐control studies, cohort studies, and cross‐sectional studies, as well as clinical trials or studies describing cardiac manifestations of MIS‐C and its sequelae in a paediatric population. Initially, 285 studies were selected, but there were 154 duplicates, and 81 were excluded because they did not fit the eligibility criteria. Thus, 50 studies were selected for review, and 30 were included in the meta‐analysis. A total sample size of 1445 children was included. The combined prevalence of myocarditis or pericarditis was 34.3% (95% CI: 25.0%–44.2%). The combined prevalence for echocardiogram anomalies was 40.8% (95% CI: 30.5%–51.5%), that of Kawasaki disease presentation was 14.8% (95% CI: 7.5%–23.7%), and that of coronary dilation was 15.2% (95% CI: 11.0%–19.8%). The rate of electrocardiogram anomalies was 5.3% (95% CI: 0.8%–12.3%), and the mortality rate was 0.5% (CI 95%: 0%–1.2%). Furthermore, 186 children still had complications at discharge, with a combined prevalence of such long‐lasting manifestations of 9.3% (95% CI: 5.6%–13.7%). Studies that assess whether these children will have an increased cardiovascular risk with a greater chance of acute myocardial infarction, arrhythmias, or thrombosis will be essential for healthcare planning.

BACKGROUNDSelf-esteem (SE) can be defined as the individual perception of being close or far from his/her ideal self, according to his/her values and beliefs. Rheumatic diseases (RDs) can negatively impact SE due to functional limitations and aesthetic impairment. This work aims to describe SE in patients with RD and assess the factors associated with SE in RD individuals. METHODSThis is a cross-sectional, web-based survey for adult individuals reporting RDs. The study questionnaire was hosted on the Google Forms platform. SE was evaluated by applying the Rosenberg Self-Esteem Scale (RSES). The questionnaire also included questions about sociodemographic data, comorbidities, psychiatric disorders, and RD diagnosis (more than one diagnosis was allowed), and assessed self-reported RDs activity through the visual analogic scale (VAS). Factors associated with SE in RD patients were investigated. Descriptive analysis and associations are shown, with multivariate analyses using linear regressions. RESULTSThe study presents data on 2,020 responses. Most (96.1%) responders were women, with a mean age of 40.8 (SD = 10.8) years. The most-reported RD were fibromyalgia (33.4%) and systemic lupus erythematosus (25.9%). Mean RSES was 27 (SD = 5.9), and 791 (21%) participants presented low SE according to RSES score ≤ 25. Most (94%) participants checked the following RD associated factors as SE determinants (more than one allowed): mood changes (68.5%), functional limitation (68.1%), side effects of medications (47.4%), aesthetic changes (46.7%), and lack of support from family and friends (37.5%). In multivariate analysis, RSES score was higher (better SE) in participants with higher educational level (B = 0.

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BACKGROUNDIn 2018, 1,050,945 aesthetic plastic surgeries (AePS) were performed in Brazil. Data on the intention to do and the performance of AePS among people with inflammatory rheumatic diseases (IRDs) are scarce in the literature. This work aims to describe the frequency and types of AePS most commonly performed, the desire and motivations for AePS, and the reasons for not undergoing AePS procedures among IRD patients. METHODSThis is a cross-sectional, web-based survey of adult patients reporting IRD, compared to isolated fibromyalgia/osteoarthritis (control group). The study questionnaire was hosted on the Google Forms platform and included questions about the IRD diagnosis (more than one diagnosis was allowed, including fibromyalgia in IRD patients), sociodemographic data, comorbidities, selfevaluation IRD activity (assessed by visual analogic scale), and self-esteem (assessed by the Rosenberg Self-Esteem Scale). It also collected information on AePS previously performed, currently desired, and the reasons for not having them. Descriptive and comparative analysis (IRD versus control group) are shown. Binary logistic regression was used to explore the factors associated with the desire to have AePS.