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10.1016/j.meegid.2020.104647

http://scihub22266oqcxt.onion/10.1016/j.meegid.2020.104647
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33264669!7700729!33264669
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suck abstract from ncbi

pmid33264669      Infect+Genet+Evol 2021 ; 87 (?): 104647
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  • The dynamic association between COVID-19 and chronic disorders: An updated insight into prevalence, mechanisms and therapeutic modalities #MMPMID33264669
  • Alyammahi SK; Abdin SM; Alhamad DW; Elgendy SM; Altell AT; Omar HA
  • Infect Genet Evol 2021[Jan]; 87 (?): 104647 PMID33264669show ga
  • The devastating pandemic of coronavirus disease 2019 (COVID-19) has caused thousands of deaths and left millions of restless patients suffering from its complications. Increasing data indicate that the disease presents in a severe form in patients with pre-existing chronic conditions like cardiovascular diseases, diabetes, respiratory system diseases, and renal diseases. This denotes that these patients are more susceptible to COVID-19 and have higher mortality rates compared to patients with no comorbid conditions. Several factors can explain the heightened susceptibility and fatal presentation of COVID-19 in these patients, for example, the enhanced expression of the angiotensin-converting enzyme-2 (ACE2) in specific organs, cytokine storm, and drug interactions contribute to the increased morbidity and mortality. Adding to the findings that individuals with pre-existing conditions may be more susceptible to COVID-19, it has also been shown that COVID-19 can induce chronic diseases in previously healthy patients. Therefore, understanding the interlinked relationship between COVID-19 and chronic diseases helps in optimizing the management of susceptible patients. This review comprehensively described the molecular mechanisms that contribute to worse COVID-19 prognosis in patients with pre-existing comorbidities such as diabetes, cardiovascular diseases, respiratory diseases, gastrointestinal and renal diseases, blood disorders, autoimmune diseases, and finally, obesity. It also focused on how COVID-19 could, in some cases, lead to chronic conditions as a result of long-term multi-organ damage. Lastly, this work carefully discussed the tailored management plans for each specific patient population, aiming to achieve the best therapeutic outcome with minimum complications.
  • |COVID-19/*complications/virology[MESH]
  • |Chronic Disease[MESH]
  • |Comorbidity[MESH]
  • |Humans[MESH]
  • |Prognosis[MESH]
  • |Risk Factors[MESH]


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