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Mechanisms involved in the development of thrombocytopenia in patients with COVID-19
Yujiao Zhang1, Xiaoyuan Zeng1, Yingying Jiao1
1Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
Insights
This review examines hematological changes in COVID-19 patients, focusing on thrombocytopenia. Understanding these platelet count changes is crucial for predicting disease severity and patient outcomes.
Area of Science:
- Hematology
- Virology
- Infectious Diseases
Background:
- COVID-19, caused by SARS-CoV-2, shares clinical similarities with SARS and MERS.
- Hematological alterations, including lymphopenia and thrombocytopenia, are observed in COVID-19 patients.
- Thrombocytopenia affects 5-41.7% of COVID-19 cases, indicating its clinical significance.
Purpose of the Study:
- To summarize hematological changes in SARS-CoV-2 infected individuals.
- To explore potential mechanisms behind thrombocytopenia development in COVID-19 patients.
Main Methods:
- Review of existing literature on COVID-19 and hematological findings.
- Analysis of reported cases and clinical studies concerning SARS-CoV-2 infection.
Main Results:
- Common hematological changes include lymphopenia and thrombocytopenia.
- Platelet count dynamics may offer prognostic value in COVID-19.
- Mechanisms driving thrombocytopenia in COVID-19 require further investigation.
Conclusions:
- Hematological changes are a notable feature of COVID-19.
- Further research is needed to fully understand and address thrombocytopenia in COVID-19 patients.
Abstract:
Corona Virus Disease 2019 (COVID-19) is caused by the novel coronavirus SARS-CoV-2. Emerging genetic and clinical evidence suggests similarities between COVID-19 patients and those with severe acute respiratory syndrome and Middle East respiratory syndrome. Hematological changes such as lymphopenia and thrombocytopenia are not rare in COVID-19 patients, and a smaller population of these patients had leukopenia. Thrombocytopenia was detected in 5-41.7% of the patients with COVID-19. Analyzing the dynamic decrease in platelet counts may be useful in the prognosis of patients with COVID-19. However, the mechanisms underlying the development of thrombocytopenia remain to be elucidated. This review summarizes the hematological changes in patients infected with SARS-CoV-2 and possible underlying mechanisms of thrombocytopenia development.
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