Table 1.
Marker | Source | Association with Cytokine Storm | Normal Range | COVID-19 Marker Cut-Off | References |
---|---|---|---|---|---|
Ferritin | Serum Chemistry | Cellular ferritin leaks from damaged cells | 18–350 ng/mL | ≥ 400 μg/L* | [85] |
D-dimer | Serum Chemistry | Defective plasma coagulation | 250–500 ng/mL | ≥ 1000 ng/mL* | [86] |
Lactate dehydrogenase | Serum Chemistry | Lactic acidosis | 140 −280 U/L | ≥ 450U/L * | [83] |
C-Reactive Protein | Serum Chemistry | Associated to IL-6 stimulation | 0.3 to 1.0 mg/dL | ≥ 20 mg/dL* | [87] |
ALT | Serum Chemistry | Damage of hepatocytes | 19 to 33 IU/L | 67 (47–100) IU/L* | [88] |
Cytokines | Serum Chemistry | ||||
IL-1beta | Pro-inflammatory activity | 0.10 pg/mL | 0.67 pg/mL | [89] | |
IL-6 | Pro-inflammatory activity | 0.5 to 5 pg/mL | <25 pg/mL* | [90,91] | |
TNF-α | Pro-inflammatory activity | 0 to 8.1pg/mL | < 35pg/mL* | [92] | |
Neutrophil/Lymphocyte Ratio | Hematological | Increased neutrophil counts and lymphopenia. | 1.0–3.0 | 6.6 (2.1–11.1)* | [7,93] |
Erythrocyte Sedimentation Rate | Hematological | Platelet destruction | 0 to 29 mm/hr | >100 mm/hr* | [94] |
Notes: *Marker levels suggest a remarkable increase from the normal range. They are not to be taken as fixed as they do vary as the disease progresses due to several other factors.