Late-onset hematological complications post COVID-19: An emerging medical problem for the hematologist

Eleni Korompoki1, Maria Gavriatopoulou1, Despina Fotiou1

  • 1Department of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

Insights

This review details post-COVID-19 hematological disorders, including coagulopathy and thrombocytopenia. Hematologists play a key role in managing these long COVID-19 complications through laboratory monitoring and supportive care.

Area of Science:

  • Hematology
  • Immunology
  • Infectious Diseases

Background:

  • Coronavirus disease 19 (COVID-19) is a multisystemic illness.
  • Persistent symptoms and late-onset complications, including hematological disorders, are reported post-COVID-19.
  • COVID-19-induced coagulopathy, an immunothrombotic state, is associated with thromboembolic and hemorrhagic events.

Purpose of the Study:

  • To review available evidence on post-acute COVID-19 hematological complications.
  • To highlight the role of hematologists in managing long COVID-19.
  • To emphasize the importance of laboratory monitoring for timely intervention.

Main Methods:

  • Literature review of studies on post-COVID-19 hematological complications.
  • Synthesis of evidence on COVID-19-induced coagulopathy and thrombocytopenia.
  • Discussion of the multidisciplinary approach in long COVID-19 management.

Main Results:

  • Post-COVID-19 hematological disorders are a significant concern.
  • Late-onset thrombocytopenia, linked to immune dysregulation, is a rare manifestation.
  • Close laboratory monitoring is crucial for identifying and managing hematological abnormalities.

Conclusions:

  • Hematological complications are an important aspect of long COVID-19.
  • Hematologists are essential in the multidisciplinary care of patients with post-COVID-19 hematological issues.
  • Timely laboratory assessment and supportive care are vital for managing these conditions.

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