SARS-CoV-2 Infection in Hereditary Hemorrhagic Telangiectasia Patients Suggests Less Clinical Impact Than in the General Population

At the moment of writing this communication, the health crisis derived from the COVID-19 pandemic has affected more than 120 million cases, with 40 million corresponding to Europe. In total, the number of deaths is almost 3 million, but continuously rising. Although COVID-19 is primarily a respirato...

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Main Authors: Sol Marcos, Virginia Albiñana, Lucia Recio-Poveda, Belisa Tarazona, María Patrocinio Verde-González, Luisa Ojeda-Fernández, Luisa-María Botella
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/9/1884
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author Sol Marcos
Virginia Albiñana
Lucia Recio-Poveda
Belisa Tarazona
María Patrocinio Verde-González
Luisa Ojeda-Fernández
Luisa-María Botella
author_facet Sol Marcos
Virginia Albiñana
Lucia Recio-Poveda
Belisa Tarazona
María Patrocinio Verde-González
Luisa Ojeda-Fernández
Luisa-María Botella
author_sort Sol Marcos
collection DOAJ
description At the moment of writing this communication, the health crisis derived from the COVID-19 pandemic has affected more than 120 million cases, with 40 million corresponding to Europe. In total, the number of deaths is almost 3 million, but continuously rising. Although COVID-19 is primarily a respiratory disease, SARS-CoV-2 infects also endothelial cells in the pulmonary capillaries. This affects the integrity of the endothelium and increases vascular permeability. In addition, there are serious indirect consequences, like disruption of endothelial cells’ junctions leading to micro-bleeds and uncontrolled blood clotting. The impact of COVID-19 in people with rare chronic cardiovascular diseases is unknown so far, and interesting to assess, because the virus may cause additional complications in these patients. The aim of the present work was to study the COVID-19 infection among the patients with Hereditary Hemorrhagic Telangiectasia (HHT). A retrospective study was carried out in a 138 HHT patients’ sample attending an Ear Nose and Throat (ENT) reference consult. The evaluation of the COVID-19 infection in them reveals milder symptoms; among the 25 HHT patients who were infected, only 3 cases were hospitalized, and none of them required ICU or ventilation assistance. The results are discussed in the light of macrophage immune response.
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spelling doaj.art-f5bcdfd937284bbfa4af4ec0f20fa4db2023-11-21T17:20:40ZengMDPI AGJournal of Clinical Medicine2077-03832021-04-01109188410.3390/jcm10091884SARS-CoV-2 Infection in Hereditary Hemorrhagic Telangiectasia Patients Suggests Less Clinical Impact Than in the General PopulationSol Marcos0Virginia Albiñana1Lucia Recio-Poveda2Belisa Tarazona3María Patrocinio Verde-González4Luisa Ojeda-Fernández5Luisa-María Botella6Otorrinolaringology Department, Hospital Universitario Fundación Alcorcón, 28922 Madrid, SpainMolecular Biomedicine Department, Centro de Investigaciones Biológicas Margarita Salas, CSIC, 28040 Madrid, SpainMolecular Biomedicine Department, Centro de Investigaciones Biológicas Margarita Salas, CSIC, 28040 Madrid, SpainPreventive Medicine and Public Health Department, Hospital Universitario Fundación Jiménez Díaz, 28040 Madrid, SpainHealth Centre Barrio del Pilar, SERMAS, 28029 Madrid, SpainMolecular Biomedicine Department, Centro de Investigaciones Biológicas Margarita Salas, CSIC, 28040 Madrid, SpainMolecular Biomedicine Department, Centro de Investigaciones Biológicas Margarita Salas, CSIC, 28040 Madrid, SpainAt the moment of writing this communication, the health crisis derived from the COVID-19 pandemic has affected more than 120 million cases, with 40 million corresponding to Europe. In total, the number of deaths is almost 3 million, but continuously rising. Although COVID-19 is primarily a respiratory disease, SARS-CoV-2 infects also endothelial cells in the pulmonary capillaries. This affects the integrity of the endothelium and increases vascular permeability. In addition, there are serious indirect consequences, like disruption of endothelial cells’ junctions leading to micro-bleeds and uncontrolled blood clotting. The impact of COVID-19 in people with rare chronic cardiovascular diseases is unknown so far, and interesting to assess, because the virus may cause additional complications in these patients. The aim of the present work was to study the COVID-19 infection among the patients with Hereditary Hemorrhagic Telangiectasia (HHT). A retrospective study was carried out in a 138 HHT patients’ sample attending an Ear Nose and Throat (ENT) reference consult. The evaluation of the COVID-19 infection in them reveals milder symptoms; among the 25 HHT patients who were infected, only 3 cases were hospitalized, and none of them required ICU or ventilation assistance. The results are discussed in the light of macrophage immune response.https://www.mdpi.com/2077-0383/10/9/1884SARS-CoV-2COVID-19hereditary hemorrhagic telangiectasia (HHT)pandemicACE2 receptorinflammation
spellingShingle Sol Marcos
Virginia Albiñana
Lucia Recio-Poveda
Belisa Tarazona
María Patrocinio Verde-González
Luisa Ojeda-Fernández
Luisa-María Botella
SARS-CoV-2 Infection in Hereditary Hemorrhagic Telangiectasia Patients Suggests Less Clinical Impact Than in the General Population
Journal of Clinical Medicine
SARS-CoV-2
COVID-19
hereditary hemorrhagic telangiectasia (HHT)
pandemic
ACE2 receptor
inflammation
title SARS-CoV-2 Infection in Hereditary Hemorrhagic Telangiectasia Patients Suggests Less Clinical Impact Than in the General Population
title_full SARS-CoV-2 Infection in Hereditary Hemorrhagic Telangiectasia Patients Suggests Less Clinical Impact Than in the General Population
title_fullStr SARS-CoV-2 Infection in Hereditary Hemorrhagic Telangiectasia Patients Suggests Less Clinical Impact Than in the General Population
title_full_unstemmed SARS-CoV-2 Infection in Hereditary Hemorrhagic Telangiectasia Patients Suggests Less Clinical Impact Than in the General Population
title_short SARS-CoV-2 Infection in Hereditary Hemorrhagic Telangiectasia Patients Suggests Less Clinical Impact Than in the General Population
title_sort sars cov 2 infection in hereditary hemorrhagic telangiectasia patients suggests less clinical impact than in the general population
topic SARS-CoV-2
COVID-19
hereditary hemorrhagic telangiectasia (HHT)
pandemic
ACE2 receptor
inflammation
url https://www.mdpi.com/2077-0383/10/9/1884
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