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. 2020 Aug 27;22(9):63. doi: 10.1007/s11906-020-01078-6

Table 1.

Clinical features of endothelial dysfunction and microvascular thrombosis in COVID-19 infection

Clinical manifestations Associated clinical features
I. Microvascular lung thrombosis Signs and symptoms resembling those of pulmonary embolism
II. Venous thromboembolism
  Pulmonary embolism Tachycardia, dyspnea, syncope, chest pain or discomfort, hemoptysis, fever, dizziness, sweating
  Deep vein thrombosis Pain, swelling, warmth, red or discolored skin on the extremities
  Cerebral venous thrombosis New-onset headache or isolated intracranial hypertension
III. Arterial events
  Cerebrovascular disease

Large-vessel occlusion

Intracerebral hemorrhage

CNS vasculitis

  Cardiovascular disease Elevated troponin, symptoms of cardiomyopathy
  Acute limb ischemia Pain, pallor, pulselessness, paresthesia, perishingly cold, paralysis
IV. Other
  Renal disease Elevated creatinine, proteinuria
V. Neurological complications
  Indirect events through systemic response Encephalopathy, headaches, psychotic symptoms, de novo seizures or status epilepticus, myopathy
  Direct nervous system invasion

Anosmia/ageusia

Encephalitis/meningoencephalitis

  Postinfectious/immune-mediated

Guillain-Barré syndrome, Miller Fisher syndrome

Acute necrotizing encephalopathy

Acute disseminated encephalomyelitis