<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7531</journal-id>
<journal-title><![CDATA[Revista Cubana de Pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Pediatr]]></abbrev-journal-title>
<issn>0034-7531</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75312022000500001</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trombosis vascular en pacientes pediátricos afectados por COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Vascular thrombosis in pediatric patients affected by COVID-19]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta Torres]]></surname>
<given-names><![CDATA[José Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Cutiño]]></surname>
<given-names><![CDATA[Maite]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera Keeling]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Prieto]]></surname>
<given-names><![CDATA[Magela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico Docente Cerro  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>94</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75312022000500001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75312022000500001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75312022000500001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La enfermedad por el nuevo coronavirus provocó una pandemia con impacto en la salud infantil que hizo patente la relación entre un estado de inflamación, hipercoagulabilidad y trombosis vascular como génesis de la insuficiencia respiratoria aguda.  Objetivo:  Describir la epidemiología de la trombosis vascular en pediatría y resumir las principales evidencias disponibles relacionadas con la interacción entre la hiperinflamación, disregulación inmunológica, hipercoagulabilidad y trombosis.  Métodos:  Entre diciembre 2019 y junio de 2021, se realizó una revisión ordenada de las bases de datos médicas PubMed, y Google Scholar, en las que se emplearon los términos de los títulos (MeSH): &#8220;SARS-CoV-2 and Covid-19"; "coronavirus" and "infección"; "sepsis" and "Covid-19" and &#8220;Síndrome inflamatorio multisistémico en niños&#8221; and &#8220;MIS-C and "PIMS-TS".  Análisis y síntesis de la información:  La trombosis vascular en pediatría se presenta entre 1,2 y 26 %, generado por procesos inflamatorios que conducen a una endotelítis con alteraciones de las estructuras microvasculares y la formación de trombos. Existen factores de riesgos como edad&#8805; 12 años, ventilación mecánica, abordaje venoso profundo, presencia de síndrome inflamatorio multisistémico, obesidad y cáncer. El diagnóstico se sustenta con análisis específicos en especial el dímero D, ultrasonidos con dopplers y tomografías. El tratamiento con anticoagulante no se ha unificado y dependerá de los protocolos indicados en cada país.  Conclusiones: La trombosis vascular en pediatría, aunque infrecuente, debe tenerse presente para detectar su presencia en pacientes graves con factores de riesgo y actuar en consecuencia de acuerdo con los protocolos establecidos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The disease by the new coronavirus caused a pandemic with an impact on children's health, which made clear the relationship between a state of inflammation, hypercoagulability and vascular thrombosis as the genesis of acute respiratory failure.  Objective:  To describe the epidemiology of vascular thrombosis in pediatrics and to summarize the main available evidence related to the interaction between hyperinflammation, immune dysregulation, hypercoagulability and thrombosis.  Methods:  Between December 2019 and June 2021, an orderly review of the medical databases PubMed and Google Scholar was carried out, in which the terms of the titles (MeSH) were used: "SARS-CoV-2 and Covid-19"; "coronavirus" and "infection"; "sepsis" and "Covid-19" and "Multisystem inflammatory syndrome in children" and "MIS-C and "PIMS-TS".  Analysis and synthesis of information:  Vascular thrombosis in pediatrics occurs between 1.2 and 26%, generated by inflammatory processes that lead to endothelitis with alterations of microvascular structures and thrombus formation. There are risk factors such as age&#8805; 12 years, mechanical ventilation, deep venous approach, presence of multisystem inflammatory syndrome, obesity and cancer. The diagnosis is supported by specific analyzes, especially the D-dimer, ultrasound with Dopplers and tomography. Anticoagulant treatment has not been unified and will depend on the protocols indicated in each country.  Conclusions:  Vascular thrombosis in pediatrics, although infrequent, should be kept in mind to detect its presence in severe patients with risk factors and act accordingly with established protocols.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[trombosis vascular]]></kwd>
<kwd lng="es"><![CDATA[SIM-P]]></kwd>
<kwd lng="es"><![CDATA[dímero D]]></kwd>
<kwd lng="es"><![CDATA[citocinas]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[vascular thrombosis]]></kwd>
<kwd lng="en"><![CDATA[SIM-P]]></kwd>
<kwd lng="en"><![CDATA[D-dimer]]></kwd>
<kwd lng="en"><![CDATA[cytokines]]></kwd>
</kwd-group>
</article-meta>
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