Details

Autor(en) / Beteiligte

• Tsai, Ping-Hsing
• Lai, Wei-Yi
• Lin, Yi-Ying
• Luo, Yung-Hung
• Lin, Yi-Tsung
• Chen, Hsiao-Kang
• Chen, Yuh-Min
• Lai, Yi-Chun
• Kuo, Li-Chiao
• Chen, Shew-Dan
• Chang, Kao-Jung
• Liu, Cheng-Hsuan
• Chang, Shih-Chieh
• Wang, Fu-Der
• Yang, Yi-Ping

Titel

Clinical manifestation and disease progression in COVID-19 infection

Ist Teil von

• Journal of the Chinese Medical Association, 2021-01, Vol.84 (1), p.3-8

Ort / Verlag

Netherlands: Lippincott Williams & Wilkins

Erscheinungsjahr

2021

Quelle

MEDLINE

Beschreibungen/Notizen

• Coronavirus disease 2019 (COVID-19) is mainly an infectious disease of the respiratory system transmitted through air droplets, and pulmonary symptoms constitute main presentations of this disease. However, COVID-19 demonstrates a clinically diverse manifestation ranging from asymptomatic presentation to critically illness with severe pneumonia, acute respiratory distress syndrome, respiratory failure, or multiple organ failure. Accumulating evidences demonstrated that COVID-19 has extrapulmonary involvement, including neurological, smelling sensation, cardiovascular, digestive, hepatobiliary, renal, endocrinologic, dermatologic system, and others. Over a third of COVID-19 patients manifest a wide range of neurological symptoms involving the central/peripheral nervous system. Underlying cardiovascular comorbidities were associated with detrimental outcomes, meanwhile the occurrence of cardiovascular complications correlate to poor survival. Gastrointestinal symptoms frequently occur and have been associated with a longer period of illness. Impaired hepatic functions were associated with the severity of the disease. Higher rate of acute kidney injury was reported in critically ill patients with COVID-19. Endocrinologic presentations of COVID-19 include exacerbating hyperglycemia, euglycemic ketosis, and diabetic ketoacidosis. The most common cutaneous manifestation was acro-cutaneous (pernio or chilblain-like) lesions, and other skin lesions consist of maculopapular rash, vesicular lesions, livedoid/necrotic lesions, exanthematous rashes, and petechiae. This review article summarized the general clinical signs and symptoms, radiologic features, and disease manifestation with progression in patients with COVID-19.