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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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) |
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COVID-19 liver disease clinical manifestations Medicine R |
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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 |
work_keys_str_mv |
AT lilianałykowskaszuber liverinjuryinpatientswithcoronavirusdisease2019covid19anarrativereview AT karolinawołodzko liverinjuryinpatientswithcoronavirusdisease2019covid19anarrativereview AT annamariarychter liverinjuryinpatientswithcoronavirusdisease2019covid19anarrativereview AT aleksandraszymczaktomczak liverinjuryinpatientswithcoronavirusdisease2019covid19anarrativereview AT iwonakrelakazmierczak liverinjuryinpatientswithcoronavirusdisease2019covid19anarrativereview AT agnieszkadobrowolska liverinjuryinpatientswithcoronavirusdisease2019covid19anarrativereview |
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