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Long COVID and the kidney.

作者信息

Ivković Vanja, Anandh Urmila, Bell Samira, Kronbichler Andreas, Soler Maria Jose, Bruchfeld Annette

机构信息

Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

Department of Nephrology, Amrita Institute of Medical Sciences, New Delhi, India.

出版信息

Nat Rev Nephrol. 2025 Sep 4. doi: 10.1038/s41581-025-00997-4.


DOI:10.1038/s41581-025-00997-4
PMID:40908304
Abstract

Long coronavirus disease (COVID) - commonly defined as symptoms and/or long-term effects that persist for at least 3 months after acute infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and cannot be explained by an alternative diagnosis - is a complex, multifaceted and heterogeneous disease that affects many organ systems, including the kidney. COVID-19 can cause acute kidney injury, and several studies have reported an increased risk of chronic kidney disease (CKD) following COVID-19, suggesting that CKD can be a manifestation of long COVID. Furthermore, patients with CKD are at an increased risk of severe COVID-19 and of long COVID. COVID-19 has also been associated with the development of COVID-19-associated nephropathy, which is a collapsing form of focal segmental glomerulosclerosis, and an increased incidence of new-onset vasculitis. Some early reports described associations of COVID-19 and/or SARS-CoV-2 vaccines with relapse or new-onset of other glomerular diseases, but this link was not confirmed in large population-based studies. SARS-CoV-2 vaccination reduces the risk of COVID-19 and long COVID and is particularly important for protecting vulnerable populations such as patients with CKD. Structured long-term follow-up of patients with COVID-19 and post-infectious sequelae is needed to provide further insight into the trajectory of long COVID and enable identification of those at risk of CKD.

摘要

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本文引用的文献

[1]
Histopathological Examination of Clustering Microspheres and Podocyte Infolding in the Glomerular Basement Membrane Using Low-vacuum Scanning Electron Microscopy.

Intern Med. 2025-8-7

[2]
Kidney Function Following COVID-19 in Children and Adolescents.

JAMA Netw Open. 2025-4-1

[3]
Association between COVID-19 and the development of chronic kidney disease in patients without initial acute kidney injury.

Sci Rep. 2025-3-29

[4]
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Sci Rep. 2025-2-19

[5]
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Sci Rep. 2025-2-12

[6]
Kidney Function Decline After COVID-19 Infection.

JAMA Netw Open. 2024-12-2

[7]
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[8]
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Long-Term Risk of Autoimmune and Autoinflammatory Connective Tissue Disorders Following COVID-19.

JAMA Dermatol. 2024-12-1

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