TABLE 1.
Renal involvement | Features | Underlying condition | References | Commentaries |
Prerenal azotemia | AKI Signs of ECV decrease FeNa <1% RBF decrease Favorable outcome after volume repletion | Hemodynamic changes Hypovolemia Venous congestion Mechanical ventilation | Chand et al., 2020,Xia et al., 2020,Watchorn et al., 2020,Mohamed et al., 2020 | |
Tubular | AKI Low-range proteinuria Low molecular weight proteinuria ±Hypouricemia ±Hypophosphatemia ±Aminoaciduria | Ischemic ATI Sepsis-associated ATI Rhabdomyolysis | Werion et al., 2020,Kormann et al., 2020,Mohamed et al., 2020,Kudose et al., 2020,Santoriello et al., 2020,Sharma et al., 2020 | No direct identification of SARS-CoV-2 (ISH, IHC, and PCR) (Unspecific microvesicular bodies on electron microscopy) |
Glomerular | AKI Nephrotic-range proteinuria Albuminuria ±Hematuria | Collapsing glomerulopathy Membranous nephropathy Minimal change disease Anti-GBM GN Pauci-immune crescentic GN Chronic glomerulosclerosis | Kudose et al., 2020,Santoriello et al., 2020,Sharma et al., 2020,Wu et al., 2020,Gaillard et al., 2020 | APOL-1 variant–associated collapsing glomerulopathy Role of interferon? |
Vascular | AKI Hematuria ±Low-range proteinuria Severe COVID-19 | Microvascular 6 cases of TMA Focal fibrin thrombi in 6/42 Macrovascular 2 cases of renal infarction Chronic vascular lesions | Jhaveri et al., 2020,Akilesh et al., 2020,Santoriello et al., 2020,Post et al., 2020 | Evidence of complement activation in one case of TMA Evidence of multiple thrombosis in one case of renal infarction |
In bold the most frequently reported lesions. AKI, acute kidney injury; ECV, extracellular volume; ATI, acute tubular injury; ISH, in situ hybridization; IHC, immunohistochemistry; GBM, glomerular basal membrane; GN, glomerulonephritis; TMA, thrombotic microangiopathy.