• Cleve Clin J Med · Aug 2020

    Hepatic manifestations of COVID-19.

    • El OualiSaraSDepartment of Gastroenterology, Hepatology & Nutrition, Digestive Diseases and Surgery Institute, Cleveland Clinic ELOUALS2@ccf.org., Carlos Romero-Marrero, and Miguel Regueiro.
    • Department of Gastroenterology, Hepatology & Nutrition, Digestive Diseases and Surgery Institute, Cleveland Clinic ELOUALS2@ccf.org.
    • Cleve Clin J Med. 2020 Aug 27.

    AbstractPatients with COVID-19 commonly have elevated liver enzyme levels, which is associated with adverse outcomes during hospitalization including increased risk of ICU admission, intubation, and mortality. When assessing these patients, it is important to consider causes of liver injury unrelated to COVID-19. Therapies for COVID-19 may increase liver enzyme levels but are not contraindicated in patients with baseline abnormal liver tests. Liver enzymes should be regularly monitored in all hospitalized patients with COVID-19. Patients with preexisting liver disease such as cirrhosis and those who have received a liver transplant may be an increased risk of severe COVID-19 outcomes.Copyright © 2020 The Cleveland Clinic Foundation. All Rights Reserved.

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