Guarino Maria, Cossiga Valentina, Cutolo Francesco Maria, Attanasio Maria Rosaria, Lieto Raffaele, Morisco Filomena
Diseases of the Liver and Biliary System Unit, Department of Clinical Medicine and Surgery, University of Naples "Federico II", 80131 Naples, Italy.
J Clin Med. 2023 Jun 27;12(13):4316. doi: 10.3390/jcm12134316.
In late 2019, the world was shaken by the COVID-19 pandemic. Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection became one of the main causes of illness and hospitalization worldwide, especially in subjects with metabolic comorbidities such as obesity, diabetes, or liver disease. This scenario crosses with the metabolic liver disorders' "pandemic", caused by the exponential spreading of non-alcoholic fatty liver disease, which is now the most prevalent cause of chronic liver disease (CLD). The aim of this review is to analyze the key factors of the relationship between COVID-19 and the spectrum of fatty liver disorders (FLD), in terms of molecular mechanisms and clinical presentation which can predict a more severe course of the infection. In addition, this review will face the change in management of FLD during pandemics, with a central role of telemedicine, and the role of other interventions in preventing and treating severe infection in these subjects.
2019年末,新型冠状病毒肺炎疫情震惊全球。严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染成为全球疾病和住院的主要原因之一,尤其是在患有肥胖、糖尿病或肝病等代谢合并症的人群中。这种情况与非酒精性脂肪性肝病呈指数级传播所引发的代谢性肝脏疾病“大流行”相互交织,非酒精性脂肪性肝病现已成为慢性肝病(CLD)最常见的病因。本综述的目的是从分子机制和临床表现方面分析新型冠状病毒肺炎与脂肪性肝病(FLD)谱系之间关系的关键因素,这些因素可预测感染的更严重病程。此外,本综述将探讨大流行期间FLD管理的变化,其中远程医疗发挥核心作用,以及其他干预措施在预防和治疗这些患者严重感染方面的作用。