Post COVID-19 Syndrome in Patients with Asymptomatic/Mild Form

Post COVID-19 Syndrome (PCS) is a complex of various symptoms developing a month or more after the acute phase of the disease. The cases of PCS development among patients with asymptomatic/mild forms are frequently reported; however, the pathogenesis of PCS in this group of patients is still not com...

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Autores principales: Annа Malkova, Igor Kudryavtsev, Anna Starshinova, Dmitry Kudlay, Yulia Zinchenko, Anzhela Glushkova, Piotr Yablonskiy, Yehuda Shoenfeld
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/dd06e9da9d634b2b9060960fdd4c46e4
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spelling oai:doaj.org-article:dd06e9da9d634b2b9060960fdd4c46e42021-11-25T18:38:02ZPost COVID-19 Syndrome in Patients with Asymptomatic/Mild Form10.3390/pathogens101114082076-0817https://doaj.org/article/dd06e9da9d634b2b9060960fdd4c46e42021-10-01T00:00:00Zhttps://www.mdpi.com/2076-0817/10/11/1408https://doaj.org/toc/2076-0817Post COVID-19 Syndrome (PCS) is a complex of various symptoms developing a month or more after the acute phase of the disease. The cases of PCS development among patients with asymptomatic/mild forms are frequently reported; however, the pathogenesis of PCS in this group of patients is still not completely clear. The publications about COVID-19 which were published in online databases from December 2019 to September 2021 are analyzed in this review. According to the analysis, PCS develops on average in 30–60% of patients, mainly among women. Fatigue, shortness of breath, cough, and anosmia were reported as the most common symptoms. The possible association between the described PCS symptoms and brain damage was revealed. We assume the possibility of an alternative course of COVID-19, which develops in genetically predisposed individuals with a stronger immune response, in which it predominantly affects the cells of the nervous system, possibly with the presence of an autoimmune component, which might have similarity with chronic fatigue syndrome or autoimmune disautonomia. Thus, the gender (female) and the presence of anosmia during an asymptomatic or mild course of the disease can be predictive factors for the development of PCS, which can be caused by autoimmune damage to neurons, glia, and cerebral vessels.Annа MalkovaIgor KudryavtsevAnna StarshinovaDmitry KudlayYulia ZinchenkoAnzhela GlushkovaPiotr YablonskiyYehuda ShoenfeldMDPI AGarticleCOVID-19asymptomaticmildPost COVID-19 SyndromeautoimmuneanosmiaMedicineRENPathogens, Vol 10, Iss 1408, p 1408 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
asymptomatic
mild
Post COVID-19 Syndrome
autoimmune
anosmia
Medicine
R
spellingShingle COVID-19
asymptomatic
mild
Post COVID-19 Syndrome
autoimmune
anosmia
Medicine
R
Annа Malkova
Igor Kudryavtsev
Anna Starshinova
Dmitry Kudlay
Yulia Zinchenko
Anzhela Glushkova
Piotr Yablonskiy
Yehuda Shoenfeld
Post COVID-19 Syndrome in Patients with Asymptomatic/Mild Form
description Post COVID-19 Syndrome (PCS) is a complex of various symptoms developing a month or more after the acute phase of the disease. The cases of PCS development among patients with asymptomatic/mild forms are frequently reported; however, the pathogenesis of PCS in this group of patients is still not completely clear. The publications about COVID-19 which were published in online databases from December 2019 to September 2021 are analyzed in this review. According to the analysis, PCS develops on average in 30–60% of patients, mainly among women. Fatigue, shortness of breath, cough, and anosmia were reported as the most common symptoms. The possible association between the described PCS symptoms and brain damage was revealed. We assume the possibility of an alternative course of COVID-19, which develops in genetically predisposed individuals with a stronger immune response, in which it predominantly affects the cells of the nervous system, possibly with the presence of an autoimmune component, which might have similarity with chronic fatigue syndrome or autoimmune disautonomia. Thus, the gender (female) and the presence of anosmia during an asymptomatic or mild course of the disease can be predictive factors for the development of PCS, which can be caused by autoimmune damage to neurons, glia, and cerebral vessels.
format article
author Annа Malkova
Igor Kudryavtsev
Anna Starshinova
Dmitry Kudlay
Yulia Zinchenko
Anzhela Glushkova
Piotr Yablonskiy
Yehuda Shoenfeld
author_facet Annа Malkova
Igor Kudryavtsev
Anna Starshinova
Dmitry Kudlay
Yulia Zinchenko
Anzhela Glushkova
Piotr Yablonskiy
Yehuda Shoenfeld
author_sort Annа Malkova
title Post COVID-19 Syndrome in Patients with Asymptomatic/Mild Form
title_short Post COVID-19 Syndrome in Patients with Asymptomatic/Mild Form
title_full Post COVID-19 Syndrome in Patients with Asymptomatic/Mild Form
title_fullStr Post COVID-19 Syndrome in Patients with Asymptomatic/Mild Form
title_full_unstemmed Post COVID-19 Syndrome in Patients with Asymptomatic/Mild Form
title_sort post covid-19 syndrome in patients with asymptomatic/mild form
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/dd06e9da9d634b2b9060960fdd4c46e4
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