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. 2020 Sep 21;53:e20200472. doi: 10.1590/0037-8682-0472-2020

TABLE 2: Pathophysiological stages of the evolution of coronavirus disease.

STAGES DESCRIPTION
Viral endotheliits ● diffuse multisystemic endothelial lesion caused by the virus
● diffuse endotheliitis
● microvascular stasis due to endotheliitis
Progressive thrombosis ● platelet aggregation, microvascular thrombosis
● inflammation and thrombosis of larger vessels, intravascular coagulation;
Diffuse ischemia ● multisystemic ischemia, SIRSa and DIVCb
● refractory shock, MOFc and death

Each stage of disease progression is presented on the left, with the main events listed on the right. (a) SIRS: Systemic inflammatory response syndrome; (b) DIVC: Disseminated intravascular coagulation; (c) MOF: Multiple organ failure.