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COVID-19 和 β-地中海贫血:缺乏证据和模糊的联系。

COVID-19 and β-thalassemia: in lieu of evidence and vague nexus.

机构信息

Department of Clinical Pharmacology and Therapeutic Medicine, College of Medicine, Al-Mustansiriyiah University, Box 14132, Baghdad, Iraq.

General and Pediatric Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.

出版信息

Ann Hematol. 2024 May;103(5):1423-1433. doi: 10.1007/s00277-023-05346-8. Epub 2023 Jul 5.

Abstract

Coronavirus disease 19 (COVID-19) is an infectious disease caused by severe acute respiratory coronavirus 2 (SARS-CoV-2) causing acute systemic disorders and multi-organ damage. β-thalassemia (β-T) is an autosomal recessive disorder leading to the development of anemia. β-T may lead to complications such as immunological disorders, iron overload, oxidative stress, and endocrinopathy. β-T and associated complications may increase the risk of SARS-CoV-2, as inflammatory disturbances and oxidative stress disorders are linked with COVID-19. Therefore, the objective of the present review was to elucidate the potential link between β-T and COVID-19 regarding the underlying comorbidities. The present review showed that most of the β-T patients with COVID-19 revealed mild to moderate clinical features, and β-T may not be linked with Covid-19 severity. Though patients with transfusion-dependent β-T (TDT) develop less COVID-19 severity compared to non-transfusion-depend β-T(NTDT), preclinical and clinical studies are recommended in this regard.

摘要

新型冠状病毒病(COVID-19)是由严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引起的传染病,可导致急性全身疾病和多器官损伤。β-地中海贫血(β-T)是一种常染色体隐性遗传病,可导致贫血的发生。β-T 可导致免疫紊乱、铁过载、氧化应激和内分泌疾病等并发症。β-T 和相关并发症可能会增加 SARS-CoV-2 的风险,因为炎症紊乱和氧化应激紊乱与 COVID-19 有关。因此,本综述的目的是阐明β-T 与 COVID-19 之间在潜在合并症方面的联系。本综述表明,大多数患有 COVID-19 的β-T 患者表现出轻度至中度的临床特征,β-T 与 COVID-19 严重程度可能无关。虽然依赖输血的β-T(TDT)患者的 COVID-19 严重程度比非依赖输血的β-T(NTDT)患者低,但在这方面仍推荐进行临床前和临床研究。

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