Article ; Online: Entangling COVID-19 associated thrombosis into a secondary antiphospholipid antibody syndrome: Diagnostic and therapeutic perspectives (Review).
International journal of molecular medicine
2020 Volume 46, Issue 3, Page(s) 903–912
Abstract: ... a secondary anti‑phospholipid antibody syndrome (APS). We will apply both Baconian inductivism and Cartesian ... Mortality for COVID‑19 infection appears to occur globally between 0.1 and 0.5% of infected patients ... deductivism to prove that secondary APS is likely responsible for coagulopathy during the course of COVID‑19 ...
| Abstract | The severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is a novel β coronavirus that is the etiological agent of the pandemic coronavirus disease 2019 (COVID‑19) that at the time of writing (June 16, 2020) has infected almost 6 million people with some 450,000 deaths. These numbers are still rising daily. Most (some 80%) cases of COVID‑19 infection are asymptomatic, a substantial number of cases (15%) require hospitalization and an additional fraction of patients (5%) need recovery in intensive care units. Mortality for COVID‑19 infection appears to occur globally between 0.1 and 0.5% of infected patients although the frequency of lethality is significantly augmented in the elderly and in patients with other comorbidities. The development of acute respiratory distress syndrome and episodes of thromboembolism that may lead to disseminated intravascular coagulation (DIC) represent the primary causes of lethality during COVID‑19 infection. Increasing evidence suggests that thrombotic diathesis is due to multiple derangements of the coagulation system including marked elevation of D‑dimer that correlate negatively with survival. We propose here that the thromboembolic events and eventually the development of DIC provoked by SARS‑CoV‑2 infection may represent a secondary anti‑phospholipid antibody syndrome (APS). We will apply both Baconian inductivism and Cartesian deductivism to prove that secondary APS is likely responsible for coagulopathy during the course of COVID‑19 infection. Diagnostic and therapeutic implications of this are also discussed. |
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| MeSH term(s) | Antiphospholipid Syndrome/immunology ; Antiphospholipid Syndrome/pathology ; Antiviral Agents/therapeutic use ; Betacoronavirus ; Blood Coagulation/physiology ; COVID-19 ; Coronavirus Infections/drug therapy ; Coronavirus Infections/immunology ; Coronavirus Infections/pathology ; Disseminated Intravascular Coagulation/immunology ; Disseminated Intravascular Coagulation/pathology ; Fibrin Fibrinogen Degradation Products/metabolism ; Humans ; Pandemics ; Phospholipids/immunology ; Pneumonia, Viral/drug therapy ; Pneumonia, Viral/immunology ; Pneumonia, Viral/pathology ; SARS-CoV-2 ; Thromboembolism/immunology ; Thromboembolism/pathology ; Thrombosis/pathology |
| Chemical Substances | Antiviral Agents ; Fibrin Fibrinogen Degradation Products ; Phospholipids ; fibrin fragment D |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-06-25 |
| Publishing country | Greece |
| Document type | Journal Article ; Review |
| ZDB-ID | 1444428-8 |
| ISSN | 1791-244X ; 1107-3756 |
| ISSN (online) | 1791-244X |
| ISSN | 1107-3756 |
| DOI | 10.3892/ijmm.2020.4659 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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