COVID-19与肝损害相关及其对慢性肝病的影响

A. Sulaiman, Juferdy Kurniawan, C. Jasirwan, Saut Nababan, Kemal F Calista, C. Lesmana, I. Hasan, R. Gani, B. K. D. Mandasari
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引用次数: 1

摘要

到2019年12月下旬,在中国湖北省武汉市发现了一种名为COVID-19 (2019- ncov)的新型乙型冠状病毒,该病毒在流行病学上与武汉的华南海鲜市场有关。从武汉到许多国家,2019冠状病毒病或COVID-19病例正在迅速增长,卫生保健系统没有做好应对这一威胁的准备。目前还没有临床批准的有效药物来控制这种疾病,保护最脆弱人群免受严重疾病和感染的策略仍不清楚。关于COVID-19病毒感染如何影响许多器官,特别是肝脏,以及患者已有肝脏疾病作为感染或疾病严重程度的危险因素的相关性的信息仍然很少且不确定。此外,肝移植患者、肝细胞癌患者或免疫抑制治疗患者的推荐和考虑仍需进一步分析,因此,有或无既往肝病患者发生COVID-19相关肝损伤的机制和治疗信息应予以考虑。
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COVID-19 Related to Liver Impairment and Its Impact on Chronic Liver Disease
By late December 2019, a novel beta-coronavirus, named as COVID-19 (2019-nCoV), was discovered in Wuhan, Hubei Province, China which epidemiologically linked to a Huanan seafood market in Wuhan. Coronavirus Disease 2019 or COVID-19 cases are growing rapidly from Wuhan to many countries, finding the health care system unprepared to face this threat. No effective drugs are clinically approved to manage the disease and strategies to protect the most vulnerable from developing severe illness and infection is still unclear. Information on how COVID-19 virus infection may affects many organs, especially the liver and the relevance of pre-existing liver disease in patients as a risk factor for the infection or disease severity are still scarce and inconclusive. Besides, the recommendation and consideration in liver transplant patients, hepatocellular carcinoma, or patient on immunosuppressive therapy still need further analysis Therefore, the information on the mechanism and treatment of COVID-19 related liver injury in patients with or without pre-existing liver disease should be considered.
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