Liver Injury in Patients with Coronavirus Disease 2019 (COVID-19)—A Narrative Review

While respiratory symptoms are prevalent in SARS-CoV-2 infected patients, growing evidence indicates that COVID-19 affects a wide variety of organs. Coronaviruses affect not only the respiratory system, but also the circulatory, nervous and digestive systems. The most common comorbidities in COVID-1...

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Autores principales: Liliana Łykowska-Szuber, Karolina Wołodźko, Anna Maria Rychter, Aleksandra Szymczak-Tomczak, Iwona Krela-Kaźmierczak, Agnieszka Dobrowolska
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/76d81dcb835944bdaec7ad3215e050e6
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spelling oai:doaj.org-article:76d81dcb835944bdaec7ad3215e050e62021-11-11T17:40:08ZLiver Injury in Patients with Coronavirus Disease 2019 (COVID-19)—A Narrative Review10.3390/jcm102150482077-0383https://doaj.org/article/76d81dcb835944bdaec7ad3215e050e62021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5048https://doaj.org/toc/2077-0383While respiratory symptoms are prevalent in SARS-CoV-2 infected patients, growing evidence indicates that COVID-19 affects a wide variety of organs. Coronaviruses affect not only the respiratory system, but also the circulatory, nervous and digestive systems. The most common comorbidities in COVID-19 patients are hypertension, followed by diabetes, cardiovascular, and respiratory disease. Most conditions predisposing to SARS-CoV-2 infection are closely related to the metabolic syndrome. Obesity and chronic diseases, including liver disease, are associated with the induction of pro-inflammatory conditions and a reduction in immune response disorders, leading to the suspicion that these conditions may increase the susceptibility to SARS-CoV2 infection and the risk of complications. The definition of liver damage caused by COVID-19 has not yet been established. COVID-19 may contribute to both primary and secondary liver injury in people with pre-existing chronic disease and impaired liver reserves, leading to exacerbation of underlying disease, liver decompensation, or acute chronic liver failure. Therefore, many researchers have interpreted it as clinical or laboratory abnormalities in the course of the disease and treatment in patients with or without pre-existing liver disease. The research results available so far indicate that patients with liver disease require special attention in the event of COVID-19 infection.Liliana Łykowska-SzuberKarolina WołodźkoAnna Maria RychterAleksandra Szymczak-TomczakIwona Krela-KaźmierczakAgnieszka DobrowolskaMDPI AGarticleCOVID-19liver diseaseclinical manifestationsMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5048, p 5048 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
liver disease
clinical manifestations
Medicine
R
spellingShingle COVID-19
liver disease
clinical manifestations
Medicine
R
Liliana Łykowska-Szuber
Karolina Wołodźko
Anna Maria Rychter
Aleksandra Szymczak-Tomczak
Iwona Krela-Kaźmierczak
Agnieszka Dobrowolska
Liver Injury in Patients with Coronavirus Disease 2019 (COVID-19)—A Narrative Review
description While respiratory symptoms are prevalent in SARS-CoV-2 infected patients, growing evidence indicates that COVID-19 affects a wide variety of organs. Coronaviruses affect not only the respiratory system, but also the circulatory, nervous and digestive systems. The most common comorbidities in COVID-19 patients are hypertension, followed by diabetes, cardiovascular, and respiratory disease. Most conditions predisposing to SARS-CoV-2 infection are closely related to the metabolic syndrome. Obesity and chronic diseases, including liver disease, are associated with the induction of pro-inflammatory conditions and a reduction in immune response disorders, leading to the suspicion that these conditions may increase the susceptibility to SARS-CoV2 infection and the risk of complications. The definition of liver damage caused by COVID-19 has not yet been established. COVID-19 may contribute to both primary and secondary liver injury in people with pre-existing chronic disease and impaired liver reserves, leading to exacerbation of underlying disease, liver decompensation, or acute chronic liver failure. Therefore, many researchers have interpreted it as clinical or laboratory abnormalities in the course of the disease and treatment in patients with or without pre-existing liver disease. The research results available so far indicate that patients with liver disease require special attention in the event of COVID-19 infection.
format article
author Liliana Łykowska-Szuber
Karolina Wołodźko
Anna Maria Rychter
Aleksandra Szymczak-Tomczak
Iwona Krela-Kaźmierczak
Agnieszka Dobrowolska
author_facet Liliana Łykowska-Szuber
Karolina Wołodźko
Anna Maria Rychter
Aleksandra Szymczak-Tomczak
Iwona Krela-Kaźmierczak
Agnieszka Dobrowolska
author_sort Liliana Łykowska-Szuber
title Liver Injury in Patients with Coronavirus Disease 2019 (COVID-19)—A Narrative Review
title_short Liver Injury in Patients with Coronavirus Disease 2019 (COVID-19)—A Narrative Review
title_full Liver Injury in Patients with Coronavirus Disease 2019 (COVID-19)—A Narrative Review
title_fullStr Liver Injury in Patients with Coronavirus Disease 2019 (COVID-19)—A Narrative Review
title_full_unstemmed Liver Injury in Patients with Coronavirus Disease 2019 (COVID-19)—A Narrative Review
title_sort liver injury in patients with coronavirus disease 2019 (covid-19)—a narrative review
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/76d81dcb835944bdaec7ad3215e050e6
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