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. 2021 Sep 27;8:651658. doi: 10.3389/fmed.2021.651658

Table 1.

The manifestations of coronavirus-induced liver injury.

SARS-CoV-2 SARS-CoV MERS-CoV
Pathological changes Mild lobular infiltration by small lymphocytes, centrilobular sinusoidal dilation and patchy necrosis Accumulation of cells in mitosis, ballooning of hepatocytes and mild lobular lymphocytic infiltration. Moderate portal tract infection, lobular lymphocytic inflammation and hydropic degeneration of hepatic parenchymal cell
ref: Tian et al. (46) ref: Chau et al. (47) ref: Ng et al. (48)
ALT Elevated (affected proportion: 13.3–28.0%) Elevated (affected proportion: 52.5–87.0%) Elevated (affected proportion: 11.0–56.3%)
ref: Guan et al. (33), Chen et al. (49) ref: Jiang et al. (50), Liu et al. (51) ref: Arabi et al. (52)
AST Elevated (affected proportion: 22.0–58.0%) Elevated (affected proportion: 37.1–86.9%) Elevated (affected proportion: 15.0–86.8%)
ref: Guan et al. (33), Chen et al. (49) ref: Jiang et al. (50), Liu et al. (51) ref: Arabi et al. (52)
TB Elevated (affected proportion: 10.5–18.0%) Elevated (affected proportion: 30.0%) Not available
ref: Guan et al. (33), Chen et al. (49) ref: Jiang et al. (50)
Albumin Decreased (affected proportion: 36.8%) Decreased (affected proportion: 40.4–72.0%) Not available
ref: Zhang et al. (53) ref: Jiang et al. (50)
Comorbidity with liver disease The proportion of severe cases in patients with HBV comorbidity is higher than that of patients without HBV infection. (32.9 vs. 15.3%) Chronic hepatitis B was not associated with worse clinical outcomes. Not available
ref: Wu. et al. (54) ref: Huang et al. (55)

ALT, glutamic-pyruvic transaminase; AST, glutamic-oxalacetic transaminease; TB, total bilirubin.