COVID-19 in Individuals with Chronic Liver Diseases.

Konstantina Toutoudaki, Theodoros Androutsakos
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Abstract

Patients with chronic liver diseases (CLD) were considered to be in peril during the initial stages of the Coronavirus disease (Covid-19) pandemic. Progression of the course of the pandemic, however indicated that risk of severe disease and mortality differed, based on the cause of the hepatic disease. Patients suffering from Alcoholic liver disease or liver cirrhosis were confirmed to be at an increased risk by numerous studies, while that was not the case for HBV affected individuals and liver transplant recipients. The grade of liver fibrosis seemed to be the decisive factor for the severity of Covid-19 infection in the case of HCV infected individuals. Results are conflicting in the case of patients with metabolic- associated steatotic liver disease (MASLD) and insufficient in those with autoimmune liver disease.

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慢性肝病患者中的 COVID-19。
在冠状病毒病(Covid-19)大流行的最初阶段,慢性肝病(CLD)患者被认为处于危险之中。然而,大流行过程的进展表明,根据肝病的病因,严重疾病和死亡的风险有所不同。许多研究证实,酒精性肝病或肝硬化患者的风险增加,而受乙肝病毒影响的人和肝移植受者的风险则没有增加。对于 HCV 感染者来说,肝纤维化的程度似乎是 Covid-19 感染严重程度的决定性因素。代谢相关性脂肪性肝病(MASLD)患者的研究结果相互矛盾,而自身免疫性肝病患者的研究结果则不尽相同。
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