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Patterns of liver injury in COVID-19 - a German case series #MMPMID32588791
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]