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10.1097/MAT.0000000000001530

http://scihub22266oqcxt.onion/10.1097/MAT.0000000000001530
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34191753!8478105!34191753
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suck abstract from ncbi


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pmid34191753      ASAIO+J 2021 ; 67 (10): 1087-1096
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  • Renal Considerations in COVID-19: Biology, Pathology, and Pathophysiology #MMPMID34191753
  • Kapp ME; Fogo AB; Roufouse C; Najafian B; Radhakrishnan J; Mohan S; Miller SE; D'Agati VD; Silberzweig J; Barbar T; Gopalan T; Srivatana V; Mokrzycki MH; Benstein JA; Ng YH; Lentine KL; Aggarwal V; Perl J; Salenger P; Koyner JL; Josephson MA; Heung M; Velez JC; Ikizler A; Vijayan A; William P; Thajudeen B; Slepian MJ
  • ASAIO J 2021[Oct]; 67 (10): 1087-1096 PMID34191753show ga
  • Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has emerged into a worldwide pandemic of epic proportion. Beyond pulmonary involvement in coronavirus disease 2019 (COVID-19), a significant subset of patients experiences acute kidney injury. Patients who die from severe disease most notably show diffuse acute tubular injury on postmortem examination with a possible contribution of focal macro- and microvascular thrombi. Renal biopsies in patients with proteinuria and hematuria have demonstrated a glomerular dominant pattern of injury, most notably a collapsing glomerulopathy reminiscent of findings seen in human immunodeficiency virus (HIV) in individuals with apolipoprotein L-1 (APOL1) risk allele variants. Although various mechanisms have been proposed for the pathogenesis of acute kidney injury in SARS-CoV-2 infection, direct renal cell infection has not been definitively demonstrated and our understanding of the spectrum of renal involvement remains incomplete. Herein we discuss the biology, pathology, and pathogenesis of SARS-CoV-2 infection and associated renal involvement. We discuss the molecular biology, risk factors, and pathophysiology of renal injury associated with SARS-CoV-2 infection. We highlight the characteristics of specific renal pathologies based on native kidney biopsy and autopsy. Additionally, a brief discussion on ancillary studies and challenges in the diagnosis of SARS-CoV-2 is presented.
  • |*Acute Kidney Injury/pathology/physiopathology[MESH]
  • |COVID-19/*complications/pathology[MESH]
  • |Humans[MESH]
  • |Kidney Tubular Necrosis, Acute/pathology[MESH]
  • |Kidney/*pathology[MESH]


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