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. 2021 Apr 16;14:1487–1510. doi: 10.2147/JIR.S301784

Table 1.

Markers of Cytokine Storm

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.