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10.1177/2050640620931657

http://scihub22266oqcxt.onion/10.1177/2050640620931657
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32588791!7435007!32588791
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suck abstract from ncbi


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pmid32588791      United+European+Gastroenterol+J 2020 ; 8 (7): 814-819
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  • Patterns of liver injury in COVID-19 - a German case series #MMPMID32588791
  • Schattenberg JM; Labenz C; Worns MA; Menge P; Weinmann A; Galle PR; Sprinzl MF
  • United European Gastroenterol J 2020[Aug]; 8 (7): 814-819 PMID32588791show ga
  • BACKGROUND: Reports of liver injury in patients with novel coronavirus disease 2019 (COVID-19) are emerging from China and the USA. A wide variety of liver function test abnormalities and few cases of severe liver failure have been reported. No data on the hepatic phenotype from Europe are available at current. METHODS: We report a case series of 44 consecutive patients hospitalized for COVID-19 in Germany. RESULTS: At the time of admission, aspartate aminotransferase greater than the upper limit of normal was present in 70%, while alanine aminotransferase was elevated in 15.8%. Markers of cholestatic liver injury were altered only in a minority of patients. During hospitalization, 31% and 22% experienced increasing aspartate aminotransferase and alanine aminotransferase, respectively, when transaminases were normal at admission. Severe liver injury defined by 3x> upper limit of normal was observed in 9.1% over a mean time of 10.5 days. Importantly, patients exhibited cytotoxicity including lactate dehydrogenase and creatinine kinase elevations, but no signs of relevant liver function impairment. CONCLUSION: In summary, in a case series of hospitalized patients in Germany, cytotoxicity in the absence of severe liver dysfunction at admission and only few cases suggestive of severe liver injury during hospital were observed.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Alanine Transaminase/blood[MESH]
  • |Antiviral Agents/*adverse effects[MESH]
  • |Aspartate Aminotransferases/blood[MESH]
  • |Betacoronavirus/*pathogenicity[MESH]
  • |Biomarkers/blood[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |COVID-19 Testing[MESH]
  • |Chemical and Drug Induced Liver Injury/blood/diagnosis/*epidemiology/etiology[MESH]
  • |Clinical Laboratory Techniques/statistics & numerical data[MESH]
  • |Coronavirus Infections/*complications/diagnosis/drug therapy/epidemiology/virology[MESH]
  • |Electronic Health Records/statistics & numerical data[MESH]
  • |Female[MESH]
  • |Germany/epidemiology[MESH]
  • |Humans[MESH]
  • |Liver Failure, Acute/blood/diagnosis/*epidemiology/virology[MESH]
  • |Liver Function Tests/statistics & numerical data[MESH]
  • |Liver/drug effects/virology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*complications/drug therapy/epidemiology/virology[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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