Kidney disease and electrolytes in COVID-19: more than meets the eye

Sol Carriazo1, Mehmet Kanbay2, Alberto Ortiz1

  • 1IIS-Fundación Jiménez Diaz UAM and School of Medicine, Universidad Autonoma de Madrid, Madrid, Spain.

Insights

This review covers the global impact of COVID-19 on kidney disease, highlighting acute kidney injury and cardiorenal syndromes. It discusses dialysis options, risks for chronic kidney disease patients, and emerging therapies.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Public Health

Background:

  • COVID-19 pandemic significantly impacts global health, with government actions influencing its spread.
  • Kidney disease is a major complication of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.
  • The Clinical Kidney Journal issue compiles research from three continents on COVID-19's renal manifestations.

Discussion:

  • Clinical presentations include SIADH, AKI, CKD, collapsing glomerulopathy, and thrombotic microangiopathy.
  • Acute kidney injury management challenges, including hemodialysis (HD) and hemofiltration capacity.
  • Acute peritoneal dialysis (PD) as a critical life-saving intervention.

Key Insights:

  • Pre-existing chronic kidney disease (CKD) elevates COVID-19 complication risk.
  • Impact of COVID-19 on patients undergoing PD and HD, with emphasis on prevention.
  • Review of current and investigational therapies, including complement inhibition (eculizumab).

Outlook:

  • Further research into novel therapeutic strategies for COVID-19-related kidney disease.
  • Potential for eculizumab and other complement inhibitors in clinical trials.
  • Importance of global collaboration in understanding and managing renal complications of COVID-19.

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