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10.1136/bmjgast-2020-000445

http://scihub22266oqcxt.onion/10.1136/bmjgast-2020-000445
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32665398!10577726!32665398
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suck abstract from ncbi


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pmid32665398      BMJ+Open+Gastroenterol 2020 ; 7 (1): ä
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  • Liver stiffness by transient elastography accompanies illness severity in COVID-19 #MMPMID32665398
  • Effenberger M; Grander C; Fritsche G; Bellmann-Weiler R; Hartig F; Wildner S; Seiwald S; Adolph TE; Zoller H; Weiss G; Tilg H
  • BMJ Open Gastroenterol 2020[Jul]; 7 (1): ä PMID32665398show ga
  • OBJECTIVE: Severe liver damage is associated with worse outcome in COVID-19. Our aim was to explore the degree of liver damage, liver stiffness (LS) and severity of illness in patients with COVID-19. DESIGN: We investigated 32 patients with COVID-19 admitted to the University Hospital of Innsbruck in a prospective cross-sectional study. We performed laboratory testing, liver and spleen sonography and elastography to measure organ stiffness. RESULTS: 12 patients (38%) showed elevated aminotransferases and gamma-glutamyltransferase levels. LS was positively correlated with elevated aminotransferase levels in patients with COVID-19 compared with those without elevated enzymes. Even mild liver damage raised LS significantly in COVID-19 as it was in patients with gastrointestinal symptoms. Furthermore, higher LS measurements were significantly associated with illness severity like pneumonia, need for mechanical ventilation, and even death. CONCLUSION: Transient elastography is a useful and non-invasive tool to assess onset and severity of acute liver injury in patients with COVID-19 patients. Increased LS seems to be predictive for a more severe and complicated course of disease.
  • |Aged[MESH]
  • |Betacoronavirus/*genetics[MESH]
  • |Biopsy[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*complications/epidemiology/virology[MESH]
  • |Cross-Sectional Studies[MESH]
  • |DNA, Viral/analysis[MESH]
  • |Elasticity Imaging Techniques/*methods[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Liver Diseases/*diagnosis/etiology[MESH]
  • |Liver Function Tests[MESH]
  • |Liver/*diagnostic imaging[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*complications/epidemiology/virology[MESH]
  • |Prospective Studies[MESH]
  • |Reproducibility of Results[MESH]
  • |SARS-CoV-2[MESH]


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