COVID-19 and Liver Damage

An outbreak of unknown pneumonia, caused by the novel severe acute respiratory syndrome coronavirus (SARS-CoV-2), was reported in China at the end of December 2019. On February 11, 2020, the World Health Organization officially named SARS-CoV-2 infection COVID-19 (Coronavirus Disease 2019). The most...

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Main Authors: L. Yu. Ilchenko, I. G. Nikitin, I. G. Fedorov
Format: Article
Language:Russian
Published: SINAPS LLC 2020-05-01
Series:Архивъ внутренней медицины
Subjects:
Online Access:https://www.medarhive.ru/jour/article/view/1055
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author L. Yu. Ilchenko
I. G. Nikitin
I. G. Fedorov
author_facet L. Yu. Ilchenko
I. G. Nikitin
I. G. Fedorov
author_sort L. Yu. Ilchenko
collection DOAJ
description An outbreak of unknown pneumonia, caused by the novel severe acute respiratory syndrome coronavirus (SARS-CoV-2), was reported in China at the end of December 2019. On February 11, 2020, the World Health Organization officially named SARS-CoV-2 infection COVID-19 (Coronavirus Disease 2019). The most common clinical manifestation of COVID-19 is pneumonia. However, with the spread of the COVID-19 pandemic and analysis of clinical data, symptoms that are not characteristic of “atypical” pneumonia have been identified in patients. Neurological symptoms, skin and eye damage, etc., are described. The extrapulmonary presence of SARS-CoV-2 was also detected in cholangiocytes. Virus-induced effects, systemic inflammation (“cytokine storm”), hypoxia, hypovolemia, hypotension in shock, drug-induced hepatotoxicity, etc., are considered possible factors of liver damage. In 14-53 % of COVID-19 patients, changes in biochemical parameters, which usually do not require drug therapy, can be recorded. Acute hepatitis is very rare. However, special attention should be given to COVID-19 patients at risk: after liver transplantation; receiving immunosuppressants and antiviral drugs; and in cases of decompensated cirrhosis, acute-on-chronic liver failure, and hepatocellular carcinoma. Constant data sharing and open access to research data, new technologies, and up-to-date guidelines are required.
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spelling doaj.art-2d40fadbc9b64c6aba08c62c1f6b45ec2023-03-13T07:12:09ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642020-05-0110318819710.20514/2226-6704-2020-10-3-188-197790COVID-19 and Liver DamageL. Yu. Ilchenko0I. G. Nikitin1I. G. Fedorov2Федеральное государственное автономное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Минздрава России; Федеральное государственное бюджетное научное «Федеральный научный центр исследований и разработки иммунобиологических препаратов имени М.П. Чумакова» РАНФедеральное государственное автономное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Минздрава России; Федеральное государственное автономное учреждение Лечебно-реабилитационный центрФедеральное государственное автономное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Минздрава России; Государственное бюджетное учреждение здравоохранения «Городская клиническая больница имени В.М. Буянова» Департамента здравоохранения города МосквыAn outbreak of unknown pneumonia, caused by the novel severe acute respiratory syndrome coronavirus (SARS-CoV-2), was reported in China at the end of December 2019. On February 11, 2020, the World Health Organization officially named SARS-CoV-2 infection COVID-19 (Coronavirus Disease 2019). The most common clinical manifestation of COVID-19 is pneumonia. However, with the spread of the COVID-19 pandemic and analysis of clinical data, symptoms that are not characteristic of “atypical” pneumonia have been identified in patients. Neurological symptoms, skin and eye damage, etc., are described. The extrapulmonary presence of SARS-CoV-2 was also detected in cholangiocytes. Virus-induced effects, systemic inflammation (“cytokine storm”), hypoxia, hypovolemia, hypotension in shock, drug-induced hepatotoxicity, etc., are considered possible factors of liver damage. In 14-53 % of COVID-19 patients, changes in biochemical parameters, which usually do not require drug therapy, can be recorded. Acute hepatitis is very rare. However, special attention should be given to COVID-19 patients at risk: after liver transplantation; receiving immunosuppressants and antiviral drugs; and in cases of decompensated cirrhosis, acute-on-chronic liver failure, and hepatocellular carcinoma. Constant data sharing and open access to research data, new technologies, and up-to-date guidelines are required.https://www.medarhive.ru/jour/article/view/1055коронавирусывызывающие респираторный синдромзаболеваниевызванное новым коронавирусомпоражение печени
spellingShingle L. Yu. Ilchenko
I. G. Nikitin
I. G. Fedorov
COVID-19 and Liver Damage
Архивъ внутренней медицины
коронавирусы
вызывающие респираторный синдром
заболевание
вызванное новым коронавирусом
поражение печени
title COVID-19 and Liver Damage
title_full COVID-19 and Liver Damage
title_fullStr COVID-19 and Liver Damage
title_full_unstemmed COVID-19 and Liver Damage
title_short COVID-19 and Liver Damage
title_sort covid 19 and liver damage
topic коронавирусы
вызывающие респираторный синдром
заболевание
вызванное новым коронавирусом
поражение печени
url https://www.medarhive.ru/jour/article/view/1055
work_keys_str_mv AT lyuilchenko covid19andliverdamage
AT ignikitin covid19andliverdamage
AT igfedorov covid19andliverdamage