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10.1186/s12916-020-01682-y

http://scihub22266oqcxt.onion/10.1186/s12916-020-01682-y
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32664932!7360379!32664932
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suck abstract from ncbi


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pmid32664932      BMC+Med 2020 ; 18 (1): 214
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  • Could hemophagocytic lymphohistiocytosis be the core issue of severe COVID-19 cases? #MMPMID32664932
  • Opoka-Winiarska V; Grywalska E; Rolinski J
  • BMC Med 2020[Jul]; 18 (1): 214 PMID32664932show ga
  • BACKGROUND: COVID-19, a disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), commonly presents as fever, cough, dyspnea, and myalgia or fatigue. Although the majority of patients with COVID-19 have mild symptoms, some are more prone to serious outcomes, including pneumonia, acute respiratory distress syndrome (ARDS), and even death. Hemophagocytic lymphohistiocytosis (HLH) is a severe, life-threatening inflammatory syndrome associated with intense cytokine release (also known as a "cytokine storm"). Similar to COVID-19, HLH is characterized by aggressive course leading to multi-organ failure. MAIN TEXT: The purpose of this review article is to draw attention to the possibility of the complication of HLH in patients with the severe course of COVID-19. Indeed, some of the clinical characteristics observed in the more severe cases of COVID-19 are reminiscent of secondary HLH (which can be triggered by infections, malignancies, rheumatological diseases, or autoimmune/immunodeficiency conditions). The pathogenesis of SARS-CoV-2 infection also suggests that HLH or a similar hyperinflammatory syndrome is the cause of the severe course of the infection. CONCLUSION: The pathogenesis and clinical symptoms of severe COVID-19 indicate that an increased inflammatory response corresponding to HLH is occurring. Therefore, patients with severe COVID-19 should be screened for hyperinflammation using standard laboratory tests to identify those for whom immunosuppressive therapy may improve outcomes.
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*complications/therapy[MESH]
  • |Cytokine Release Syndrome/*virology[MESH]
  • |Humans[MESH]
  • |Lymphohistiocytosis, Hemophagocytic/diagnosis/therapy/*virology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*complications/therapy[MESH]


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