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10.3389/fmed.2021.714426

http://scihub22266oqcxt.onion/10.3389/fmed.2021.714426
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suck abstract from ncbi


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pmid34368201      Front+Med+(Lausanne) 2021 ; 8 (ä): 714426
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  • Serum Metabolic Profile in Patients With Long-Covid (PASC) Syndrome: Clinical Implications #MMPMID34368201
  • Pasini E; Corsetti G; Romano C; Scarabelli TM; Chen-Scarabelli C; Saravolatz L; Dioguardi FS
  • Front Med (Lausanne) 2021[]; 8 (ä): 714426 PMID34368201show ga
  • Background: Many patients who have been suffering by Covid-19 suffer of long-Covid syndrome, with symptoms of fatigue and muscular weakness that characterize post-acute sequelae SARS-CoV-2 infection (PASC). However, there is limited knowledge about the molecular pathophysiology, and about the serum profile of these patients. Methods: We studied the blood serum profile of 75 selected patients, with previous confirmed Covid-19, 2 months after hospital discharge, who reported new-onset fatigue, muscle weakness and/or dyspnea not present prior to the virus infection and independently from concomitant diseases and/or clinical conditions. Results: All patients had very high serum concentrations of ferritin and D-Dimer. 87 and 72% of patients had clinically significant low levels of hemoglobin and albumin, respectively. Seventy three percentage had elevations in erythrocyte sedimentation rate and CRP. Twenty seven percentage had elevations in LDH. Conclusions: The co-existence of patient symptoms along with blood markers of coagulation, protein disarrangement and inflammation suggests ongoing alterations in the metabolism, promoting an inflammatory/hypercatabolic state which maintains a vicious circles implicated in the persistence of PASC. The persistence of altered D-Dimer levels raises the possibility of long-term risks of thromboembolic disease. All these markers levels should be accurately evaluated in the long-term follow-up, with individualized consideration for prophylactic nutritional, anti-inflammatory and/or anticoagulant therapy if indicated.
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