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10.1016/j.blre.2020.100707

http://scihub22266oqcxt.onion/10.1016/j.blre.2020.100707
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suck abstract from ncbi


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pmid32425294      Blood+Rev 2021 ; 45 (ä): 100707
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  • Weathering the COVID-19 storm: Lessons from hematologic cytokine syndromes #MMPMID32425294
  • England JT; Abdulla A; Biggs CM; Lee AYY; Hay KA; Hoiland RL; Wellington CL; Sekhon M; Jamal S; Shojania K; Chen LYC
  • Blood Rev 2021[Jan]; 45 (ä): 100707 PMID32425294show ga
  • A subset of patients with severe COVID-19 develop profound inflammation and multi-organ dysfunction consistent with a "Cytokine Storm Syndrome" (CSS). In this review we compare the clinical features, diagnosis, and pathogenesis of COVID-CSS with other hematological CSS, namely secondary hemophagocytic lymphohistiocytosis (sHLH), idiopathic multicentric Castleman disease (iMCD), and CAR-T cell therapy associated Cytokine Release Syndrome (CRS). Novel therapeutics targeting cytokines or inhibiting cell signaling pathways have now become the mainstay of treatment in these CSS. We review the evidence for cytokine blockade and attenuation in these known CSS as well as the emerging literature and clinical trials pertaining to COVID-CSS. Established markers of inflammation as well as cytokine levels are compared and contrasted between these four entities in order to establish a foundation for future diagnostic criteria of COVID-CSS.
  • |Adrenal Cortex Hormones/therapeutic use[MESH]
  • |Antibodies, Monoclonal/therapeutic use[MESH]
  • |Biomarkers/blood[MESH]
  • |C-Reactive Protein/immunology/metabolism[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |COVID-19/*immunology/pathology/virology[MESH]
  • |Castleman Disease/drug therapy/*immunology/pathology[MESH]
  • |Clinical Trials as Topic[MESH]
  • |Cytokine Release Syndrome/drug therapy/*immunology/pathology/virology[MESH]
  • |Ferritins/blood/immunology[MESH]
  • |Gene Expression Regulation[MESH]
  • |Humans[MESH]
  • |Immunologic Factors/*therapeutic use[MESH]
  • |Immunotherapy, Adoptive/adverse effects[MESH]
  • |Interleukin-1/antagonists & inhibitors/blood/immunology[MESH]
  • |Interleukin-6/antagonists & inhibitors/blood/immunology[MESH]
  • |Lymphohistiocytosis, Hemophagocytic/drug therapy/*immunology/pathology[MESH]
  • |SARS-CoV-2/*pathogenicity[MESH]


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