| Autor: |
Oleksandr Yu, Ioffe, Stepan L, Kindzer, Mykola S, Kryvopustov, Yuri A, Dibrova, Yuri P, Tsiura, Mykhailo O, Havrylchenko, Oleg V, Lobanov |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Wiadomości Lekarskie. 75:1439-1445 |
| ISSN: |
0043-5147 |
| DOI: |
10.36740/wlek202206103 |
| Popis: |
The aim: Study of clinical manifestations and management of patients with COVID toes and fingers. Materials and methods: 1,841 patients with laboratory-confirmed SARS-CoV-2 infection were hospitalized. All patients were divided into two groups: without surgical pathology – 1,693 (91.96%) and with surgical pathology (patients with COVID toes and fingers and abdominal syndrome) - 148 (8.04%). The diagnosis of COVID-19 was made on the basis of clinical data, laboratory test results (PCR test for SARS-CoV-2) and computed tomography of the chest. On admission, in addition to the general laboratory tests, mandatory special methods of examination included determination of D-dimer, procalcitonin (PCT), C-reactive protein, and interleukin-6 (IL-6). Results: Surgical ischemic manifestations were observed in 8.04% of all patients with COVID-19, of which 86.48% presented with ischemic abdominal syndrome and 13.52% with COVID toes and fingers. C-reactive protein and procalcitonin are the markers that may indicate the development of ischemic surgical problems. A direct statistically significant linear correlation was found between the severity of the underlying disease and the mean D-dimer (r = 0.815; p = 0.01). Conclusions: The confirmed phenomenon of COVID toes and fingers does not require active surgical tactics. It is necessary to conduct pathogenetic treatment of COVID-19 and dynamic monitoring of its clinical course. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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