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The DOI matches its Crossref record; 59 of the 59 references it cites were found in a registry or an index.

The coagulopathy, endotheliopathy, and vasculitis of COVID-19

Open access
Iba, Toshiaki, Connors, Jean Marie, Levy, Jerrold H.·2020·Inflammation Research

Abstract

COVID-19-associated coagulopathy (CAC) characterized by the elevated D-dimer without remarkable changes of other global coagulation markers is associated with various thrombotic complications and disease severity. The purpose of this review is to elucidate the pathophysiology of this unique coagulopathy. The authors performed online search of published medical literature through PubMed using the MeSH (Medical Subject Headings) term "COVID-19," "SARS-CoV-2," "coronavirus," "coagulopathy," and "thrombus." Then, selected 51 articles that closely relevant to coagulopathy in COVID-19. The primary targets of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are the pneumocytes, immune cells, and vascular endothelial cells. The alveolar damage and the pulmonary microvascular thrombosis are the major causes of acute lung injury in COVID-19. The endotheliopathy that occurs is due to direct SARS-CoV-2 infection and activation of other pathways that include the immune system and thromboinflammatory responses leading to what is termed CAC. As a result, both microvascular and macrovascular thrombotic events occur in arterial, capillary, venule, and large vein vascular beds to produce multiorgan dysfunction and thrombotic complications. In addition to the endothelial damage, SARS-CoV-2 also can cause vasculitis and presents as a systemic inflammatory vascular disease. Clinical management of COVID-19 includes anticoagulation but novel therapies for endotheliopathy, hypercoagulability, and vasculitis are needed. The endotheliopathy due to direct endothelial infection with SARS-COV-2 and the indirect damage caused by inflammation play the predominant role in the development of CAC. The intensive control of thromboinflammation is necessary to improve the outcome of this highly detrimental contagious disease.

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Metadata

Authors
Iba, T., Connors, J. M., & Levy, J. H.
Venue
Inflammation Research
Published
2020-09-12
Volume
69
Issue
12
Pages
1181-1189
ISSN
  • 1023-3830 (ISSN-L)
  • 1420-908X
OpenAlex
W3086407960
Cited by
429
References
59
FWCI
10.65
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: The coagulopathy, endotheliopathy, and vasculitis of COVID-19. https://app.cochat.ai/papers/10.1007/s00011-020-01401-6
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Iba, T., Connors, J. M., & Levy, J. H. (2020). The coagulopathy, endotheliopathy, and vasculitis of COVID-19. Inflammation Research. https://doi.org/10.1007/s00011-020-01401-6

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.