DERLEMELER
SARS-COV-2: Çeşitli Belirtiler Hakkında Güncel Bir Derleme
SARS-COV-2: A Current Update About Miscellaneous Symptoms
Received Date : 24 Feb 2021
Accepted Date : 27 Jun 2021
Available Online : 06 Jul 2021
Tuba Tülay KOCAa, Saime SAĞIROĞLUb
aDepartment of Physical Medicine and Rehabilitation, Sütçü İmam University Faculty of Medicine, Kahramanmaraş, TURKEY
bDepartment of Otorhinolaryngology, Sütçü İmam University Faculty of Medicine, Kahramanmaraş, TURKEY
Doi: 10.31609/jpmrs.2021-82578 - Makale Dili: EN
J PMR Sci. 2021;24(3):294-8
ÖZET
Şiddetli akut solunum sendromu-koronavirüs-2 [severe acute
respiratory syndrome-coronavirus-2 (SARS-CoV-2)] partikülü, genetik
zemine bağlı olarak konakta farklı klinik yanıtlara neden olur ve iyileşmeden
sonra uzun süreli semptomlar gelişebilir. Günümüzün bilgisiyle,
SARS-CoV-2 enfeksiyonunu bir otoimmün viral vaskülopati
kliniğinin nedeni olarak tanımlayabiliriz. Mevcut bilgilerimizle hangi
hastaların şiddetli veya uzun süreli hastalık geliştireceği net değildir.
Kronik ağrı, yorgunluk, sarkopeni, vaskülopati, otoimmün bozukluklar,
artrit ve santral sensitizasyon gibi SARS-CoV-2 ile ilişkili semptomlara
neden olan birçok farklı patofizyolojik mekanizma vardır. SARS-CoV-
2’nin birçok hayati organda mikrotromboz ve endotel disfonksiyonunun
sonucu immün yanıt ve yaşamı tehdit eden durumlara neden
olduğunu artık biliyoruz. Ayrıca konakta bir immün yanıtı tetikler. Bu
immün reaksiyon, uzun vadede otoimmün hastalıkları tetikleyebilir. Bu
derlemede, sistemik komplikasyonların yanı sıra özellikle bir fiziyatrist
bakış açısından virüsün neden olduğu çeşitli semptomlara odaklandık.
Anahtar Kelimeler: SARS-COV-2; kronik ağrı; sarkopeni; artrit; nörolojik komplikasyonlar
ABSTRACT
Severe acute respiratory syndrome-coronavirus-2
(SARS-CoV-2) particle causes different clinical responses in the host
depending on the genetic background and prolonged symptoms may
develop after recovery. With today's knowledge, we may describe
SARS-CoV-2 infection the cause of an autoimmune viral vasculopathy
clinic. With our current information, it is not clear which patients will
develop severe or prolonged disease. There are many different pathophysiological
mechanisms that cause coronavirus disease-2019 related
symptoms like chronic pain, fatigue, sarcopenia, vasculopathy, autoimmun
disorders, arthritis and central sensitization etc.We now know
that SARS-CoV-2 causes immune response and life-threatening conditions
as a result of microthrombosis and endothelial dysfunction in
many vital organs. Also it triggers an immune response in the host. This
immun reaction may trigger autoimmune diseases in the long term. In
this review, we especially focused on miscellaneous symptoms caused
by virus, from the perspective of a physiatrist, besides systemic complications.
Keywords: SARS-COV-2; chronic pain; sarcopenia; arthritis; neurologic complications
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