Table 3.
Clinical picture and laboratory findings
Pt | Comorbidities | OT | NIVS* | Treatment at biopsy time† | Blood lymphopenia‡ | High serum IL-6§ | High D-dimer levelsll | Increased BAL lymphocytes** |
---|---|---|---|---|---|---|---|---|
1 | No | No | No | Hydroxychloroquine Ritonavir/darunavir Corticosteroids |
Yes | No | No | Yes |
2 | No | Yes | Yes | Hydroxychloroquine Ritonavir/darunavir Corticosteroids Enoxaparin |
Yes | Yes | No | Yes |
3 | Hypertension, hyperlipidemia, GERD | No | No | Hydroxychloroquine Corticosteroids Enoxaparin |
No | No | No | Yes |
4 | Hypertension, obesity, OSA | Yes | Yes | Hydroxychloroquine Ritonavir/darunavir Corticosteroids Enoxaparin |
No | No | Yes | No |
5 | Hyperlipidemia | No | No | Hydroxychloroquine Ritonavir/darunavir Corticosteroids Enoxaparin |
No | No | No | n/a |
5 | Hyperlipidemia | No | No | Hydroxychloroquine Ritonavir/darunavir Corticosteroids Enoxaparin |
No | No | No | n/a |
6 | No | Yes | No | Hydroxychloroquine Ritonavir/darunavir Corticosteroids Enoxaparin |
No | No | No | No |
7 | No | No | No | Hydroxychloroquine Ritonavir/darunavir Corticosteroids |
No | No | No | Yes |
8 | Hypertension | Yes | Yes | Hydroxychloroquine Ritonavir/darunavir Corticosteroids Enoxaparin Canakinumab |
No | No | Yes | No |
9 | No | No | No | Corticosteroids Enoxaparin | No | No | Yes | No |
10 | Hyperlipidemia | Yes | No | Corticosteroids Enoxaparin | No | No | Yes | No |
11 | No | No | No | Corticosteroids Enoxaparin | No | n/a | Yes | n/a |
12 | Psoriasis | No | Corticosteroids Enoxaparin | No | No | No | n/a |
Pt, patient; OT, oxygen therapy; NIVS; noninvasive ventilator support; BAL, bronchoalveolar lavage; GERD, gastroesophageal reflux disease; OSA, obstructive sleep apnea; n/a, not available.
All patients did not need invasive ventilation and recovered completely.
All patients received corticosteroids at biopsy time (30–100 mg prednisone equivalent a day); all patients receiving enoxaparin were treated with standard prophylaxis dose.
Lymphopenia was defined as lymphocytes count <1.00 ×109/L at biopsy time.
Normal value for serum IL-6 was <5.90 pg/mL; significantly high IL-6 levels were defined as IL-6 <40 pg/mL at biopsy time.
Cutoff value for D-dimer was <500 µg/mL FEU.
BAL lymphocytosis was defined as lymphocytes <20%.