Hematological findings in coronavirus disease 2019: indications of progression of disease

Abstract Coronavirus disease 2019 (COVID-19) is a new human infectious disease. The etiology for this outbreak is a novel coronavirus named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Thus far, related research on COVID-19 is still in preliminary stage. This paper summarized the latest outcomes of corresponding study from Chinese centers and clarified the hematopoietic abnormality caused by SARS-CoV-2 and potential mechanism. Lymphopenia was common in the early stage after the onset of COVID-19. A significant decrease was observed in peripheral CD4+ and CD8+ T lymphocytes. As the illness progressed, neutrophilia emerged in several cases, and patients with severe critical pulmonary conditions showed higher neutrophils than common type. Thrombocytopenia was resulting from the consumption and/or the reduced production of platelets in damaged lungs. Anemia was not observed notably, but the decrease in hemoglobin was frequent. The activation of monocyte-macrophage system aggravates the immune damage of lung and other tissues, which leads to the increase of D-dimer, prothrombin time, and platelet consumption..

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:99

Enthalten in:

Annals of hematology - 99(2020), 7 vom: 03. Juni, Seite 1421-1428

Sprache:

Englisch

Beteiligte Personen:

Liu, Xiaoqing [VerfasserIn]
Zhang, Run [VerfasserIn]
He, Guangsheng [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

COVID-19
Hemoglobin
Lymphopenia
Neutrophilia
SARS-CoV-2
Thrombocytopenia

RVK:

RVK Klassifikation

Anmerkungen:

© Springer-Verlag GmbH Germany, part of Springer Nature 2020

doi:

10.1007/s00277-020-04103-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC211811690X