Objective In this article, we aimed to evaluate the clinical, laboratory, and radiological findings and outcomes of patients treated with corticosteroids and intravenous immunoglobulin (IVIG) with the multisystem inflammatory syndrome in children (MIS-C) in two centers in Bursa, Turkey. Methods We retrospectively collected the clinical characteristics, laboratory results, and treatment outcomes of MIS-C cases treated in two centers from April 2020 to February 2021. Patients were compared both according to their clinical categorization and the place they were hospitalized in, as well as with studies published in the literature. Results Fifty-six patients were included. Thirty-six (64.3%) were male with a mean age of 67.95 ± 50.87 months. Thirty patients (53.5%) were categorized as Kawasaki-like disease, 17 (30.3%) sepsis-like disease, and 9 (16%) were toxic shock syndrome (TSS). Admission symptoms were fever (100%), rash (71.4%), myalgia (69.6%), and abdominal pain (62.5%). Seventeen (30.3%) patients were hospitalized in pediatric intensive care unit. Elevated C-reactive protein levels, procalcitonin, erythrocyte sedimentation rate, D-dimer, and troponin were found in 100, 77, 84, 84, and 23.2% of the patients, respectively. Of all, 55 (98.2%) received IVIG, 54 (96.4%) corticosteroids, 56 (100%) antibiotic therapy, 22 (40%) albumin infusion, and 13 (23.2%) inotropic support. Fifty patients (89.3%) received low-molecular-weight heparin: enoxaparin, followed by acetylsalicylic acid treatment. Only one patient who was resistant to both IVIG and steroid treatment received Anakinra. One patient (1.7%) with TSS died within 1 hour of hospitalization. Conclusion Combined use of IVIG and corticosteroids is an effective way of treatment in MIS-C patients resulting in low mortality.

Background/Objectives: Family functioning is a multidimensional relational context that has been associated with child health outcomes. This study aimed to evaluate the associations of parent-reported family functioning, child adiposity (BMI-for-age z-score; BAZ), and parental and child screen time with child-perceived family functioning. Methods: This cross-sectional study enrolled 212 consecutive parent–child dyads (children aged 8–10 years) at the pediatric outpatient clinic of Bursa City Hospital (July–December 2024); 197 dyads with plausible anthropometric data were analyzed. Parents and children independently completed the Family APGAR. Height and weight were parent-reported, and BAZ was calculated using the WHO 2007 reference. Screen time was assessed with a single self-reported item on average daily hours. Multivariable linear regression with robust standard errors, adjusted for child age and sex and parental age, sex, and BMI, was used. Results: Twenty-three children (11.7%) had suboptimal Family APGAR scores. Parent Family APGAR score was positively associated with child Family APGAR score (B = 0.18; 95% CI 0.07–0.30; p = 0.001), and child BAZ was inversely associated with it (B = −0.21; 95% CI −0.37 to −0.06; p = 0.006). No statistically detectable association was observed for parental (B = −0.02; 95% CI −0.10 to 0.06) or child screen time (B = −0.07; 95% CI −0.21 to 0.07). The model explained 13.9% of the variance. Internal consistency of the child-reported Family APGAR was limited (ordinal α = 0.67). Conclusions: In this cross-sectional sample, child-perceived family functioning was associated with parent-reported family functioning and child BAZ, whereas no association was detected with screen time measured as a single duration item. The direction of these associations cannot be determined.