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The medical community does not yet understand either MIS-C, MIS-V (vaccines), MIS-A (adults), MIS-N (neonates) or Kawasaki Disease. See: https://doi.org/10.3390/life14030353

They are all aspects of the same disease process of immune complexes activating Fc receptors on immune cells and platelets. Note that Fc receptors have low affinity for IgG antibodies, so the antibody titers need to be higher than primary immune response. You see this with persistent infections, etc. which is consistent with delayed onsets after outbreaks, etc.

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