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Hepatic Disorders and Covid-19: From Pathophysiology to Treatment Strategy Publisher Pubmed



Shiri Aghbash P1, 2 ; Ebrahimzadeh Leylabadlo H3 ; Fathi H2, 4 ; Bahmani M2, 5 ; Chegini R6 ; Bannazadeh Baghi H1, 2, 7
Authors
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Authors Affiliations
  1. 1. Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  2. 2. Department of Virology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
  3. 3. Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  4. 4. Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA), Universal Scientific Education and Research Network (USERN), Tabriz, Iran
  5. 5. Drug Applied Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran
  6. 6. Metabolic Liver Disease Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  7. 7. Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Source: Canadian Journal of Gastroenterology and Hepatology Published:2022


Abstract

Following the SARS-CoV-2 outbreak and the subsequent development of the COVID-19 pandemic, organs such as the lungs, kidneys, liver, heart, and brain have been identified as priority organs. Liver diseases are considered a risk factor for high mortality from the COVID-19 pandemic. Besides, liver damage has been demonstrated in a substantial proportion of patients with COVID-19, especially those with severe clinical symptoms. Furthermore, antiviral medications, immunosuppressive drugs after liver transplantation, pre-existing hepatic diseases, and chronic liver diseases such as cirrhosis have also been implicated in SARS-CoV-2-induced liver injury. As a result, some precautions have been taken to prevent, monitor the virus, and avoid immunocompromised and susceptible individuals, such as liver and kidney transplant recipients, from being infected with SARS-CoV-2, thereby avoiding an increase in mortality. The purpose of this review was to examine the impairment caused by SARS-CoV-2 infection and the impact of drugs used during the pandemic on the mortality range and therefore the possibility of preventive measures in patients with liver disease. © 2022 Parisa Shiri Aghbash et al.
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