Histopathological features in fatal COVID-19 acute respiratory distress syndrome
Copyright © 2021 Elsevier España, S.L.U. and SEMICYUC. All rights reserved..
BACKGROUND: COVID-19 acute respiratory distress syndrome (ARDS) shares the common histological hallmarks with other forms of ARDS. However, the chronology of the histological lesions has not been well established.
OBJECTIVE: To describe the chronological histopathological alterations in the lungs of patients with COVID-19 related ARDS.
DESIGN: A prospective cohort study was carried out.
SETTING: Intensive Care Unit of a tertiary hospital.
PATIENTS: The first 22 consecutive COVID-19 deaths.
MEASUREMENTS: Lung biopsies and histopathological analyses were performed in deceased patients with COVID-19 related ARDS. Clinical data and patient course were evaluated.
RESULTS: The median patient age was 66 [63-74] years; 73% were males. The median duration of mechanical ventilation was 17 [8-24] days. COVID-19 induced pulmonary injury was characterized by an exudative phase in the first week of the disease, followed by a proliferative/organizing phase in the second and third weeks, and finally an end-stage fibrosis phase after the third week. Viral RNA and proteins were detected in pneumocytes and macrophages in a very early stage of the disease, and were no longer detected after the second week.
LIMITATION: Limited sample size.
CONCLUSIONS: The chronological evolution of COVID-19 lung histopathological lesions seems to be similar to that seen in other forms of ARDS. In particular, lung lesions consistent with potentially corticosteroid-sensitive lesions are seen.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2021 |
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Erschienen: |
2021 |
Enthalten in: |
Zur Gesamtaufnahme - volume:45 |
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Enthalten in: |
Medicina intensiva - 45(2021), 5 vom: 01. Juni, Seite 261-270 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Merdji, H [VerfasserIn] |
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Links: |
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Anmerkungen: |
Date Completed 10.06.2021 Date Revised 10.06.2021 published: Print Citation Status MEDLINE |
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doi: |
10.1016/j.medine.2021.02.005 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM326078347 |
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245 | 1 | 0 | |a Histopathological features in fatal COVID-19 acute respiratory distress syndrome |
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520 | |a Copyright © 2021 Elsevier España, S.L.U. and SEMICYUC. All rights reserved. | ||
520 | |a BACKGROUND: COVID-19 acute respiratory distress syndrome (ARDS) shares the common histological hallmarks with other forms of ARDS. However, the chronology of the histological lesions has not been well established | ||
520 | |a OBJECTIVE: To describe the chronological histopathological alterations in the lungs of patients with COVID-19 related ARDS | ||
520 | |a DESIGN: A prospective cohort study was carried out | ||
520 | |a SETTING: Intensive Care Unit of a tertiary hospital | ||
520 | |a PATIENTS: The first 22 consecutive COVID-19 deaths | ||
520 | |a MEASUREMENTS: Lung biopsies and histopathological analyses were performed in deceased patients with COVID-19 related ARDS. Clinical data and patient course were evaluated | ||
520 | |a RESULTS: The median patient age was 66 [63-74] years; 73% were males. The median duration of mechanical ventilation was 17 [8-24] days. COVID-19 induced pulmonary injury was characterized by an exudative phase in the first week of the disease, followed by a proliferative/organizing phase in the second and third weeks, and finally an end-stage fibrosis phase after the third week. Viral RNA and proteins were detected in pneumocytes and macrophages in a very early stage of the disease, and were no longer detected after the second week | ||
520 | |a LIMITATION: Limited sample size | ||
520 | |a CONCLUSIONS: The chronological evolution of COVID-19 lung histopathological lesions seems to be similar to that seen in other forms of ARDS. In particular, lung lesions consistent with potentially corticosteroid-sensitive lesions are seen | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Research Support, Non-U.S. Gov't | |
650 | 4 | |a COVID-19 | |
650 | 4 | |a COVID-19 related acute respiratory distress syndrome | |
650 | 4 | |a Histopathology | |
650 | 4 | |a Histopatología | |
650 | 4 | |a SARS-CoV-2 | |
650 | 4 | |a Síndrome de dificultad respiratoria aguda asociada a COVID-19 | |
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