2021
DOI: 10.1016/j.nmni.2021.100866
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The second wave of desaturation in coronavirus disease 2019

Abstract: After a complete symptomatic recovery after COVID-19 pneumonia, the second phase of desaturation is a new phenomenon that is being increasingly observed. Two possible mechanisms behind it can be a continued subclinical infection and lung fibrosis. We have presented a case with the former mechanism, who responded well to steroids.

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Cited by 2 publications
(1 citation statement)
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“…These mediators, in turn, stimulates the proliferation of type 2 alveolar cells and increases the recruitment of fibroblasts. Eventually, the cascade can lead to an increased production and storage of extracellular matrix (ECM), compromising the architecture of alveolar-capillary membrane leading to impaired gas exchange and hypoxemia (Vietri et al, 2019;Alghizzawi et al, 2021). These assumptions are confirmed by Yu MX, et al, that, by exploiting data mining and network pharmacology, showed that the molecular mechanisms of PF secondary to COVID-19 are mainly related to the TNF signaling pathway, the cytokine-cytokine receptor interaction pathway and the NF-κB signaling pathway.…”
Section: Cytokine Pathways and Development Of Fibrosismentioning
confidence: 99%
“…These mediators, in turn, stimulates the proliferation of type 2 alveolar cells and increases the recruitment of fibroblasts. Eventually, the cascade can lead to an increased production and storage of extracellular matrix (ECM), compromising the architecture of alveolar-capillary membrane leading to impaired gas exchange and hypoxemia (Vietri et al, 2019;Alghizzawi et al, 2021). These assumptions are confirmed by Yu MX, et al, that, by exploiting data mining and network pharmacology, showed that the molecular mechanisms of PF secondary to COVID-19 are mainly related to the TNF signaling pathway, the cytokine-cytokine receptor interaction pathway and the NF-κB signaling pathway.…”
Section: Cytokine Pathways and Development Of Fibrosismentioning
confidence: 99%