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10.1016/j.ijid.2020.09.016

http://scihub22266oqcxt.onion/10.1016/j.ijid.2020.09.016
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32920235!7529115!32920235
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suck abstract from ncbi


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pmid32920235      Int+J+Infect+Dis 2020 ; 100 (ä): 327-332
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  • Covid-19 hyperinflammation and post-Covid-19 illness may be rooted in mast cell activation syndrome #MMPMID32920235
  • Afrin LB; Weinstock LB; Molderings GJ
  • Int J Infect Dis 2020[Nov]; 100 (ä): 327-332 PMID32920235show ga
  • OBJECTIVES: One-fifth of Covid-19 patients suffer a severe course of Covid-19 infection; however, the specific causes remain unclear. Mast cells (MCs) are activated by SARS-CoV-2. Although only recently recognized, MC activation syndrome (MCAS), usually due to acquired MC clonality, is a chronic multisystem disorder with inflammatory and allergic themes, and an estimated prevalence of 17%. This paper describes a novel conjecture explaining how MCAS might cause a propensity for severe acute Covid-19 infection and chronic post-Covid-19 illnesses. METHODS: Observations of Covid-19 illness in patients with/without MCAS were compared with extensive clinical experience with MCAS. RESULTS: The prevalence of MCAS is similar to that of severe cases within the Covid-19-infected population. Much of Covid-19's hyperinflammation is concordant with manners of inflammation which MC activation can drive. Drugs with activity against MCs or their mediators have preliminarily been observed to be helpful in Covid-19 patients. None of the authors' treated MCAS patients with Covid-19 suffered severe infection, let alone mortality. CONCLUSIONS: Hyperinflammatory cytokine storms in many severely symptomatic Covid-19 patients may be rooted in an atypical response to SARS-CoV-2 by the dysfunctional MCs of MCAS rather than a normal response by normal MCs. If proven, this theory has significant therapeutic and prognostic implications.
  • |COVID-19/*complications/immunology[MESH]
  • |Humans[MESH]
  • |Inflammation/immunology[MESH]
  • |Mast Cells/immunology[MESH]
  • |Mastocytosis/drug therapy/epidemiology/*etiology[MESH]
  • |Pandemics[MESH]


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