Pulmonary pathology and COVID-19: lessons from autopsy. The experience of European Pulmonary Pathologists.
Identifieur interne : 000827 ( Main/Exploration ); précédent : 000826; suivant : 000828Pulmonary pathology and COVID-19: lessons from autopsy. The experience of European Pulmonary Pathologists.
Auteurs : Fiorella Calabrese [Italie] ; Federica Pezzuto [Italie] ; Francesco Fortarezza [Italie] ; Paul Hofman [France] ; Izidor Kern [Slovénie] ; Angel Panizo [Espagne] ; Jan Von Der Thüsen [Pays-Bas] ; Sergei Timofeev [Russie] ; Gregor Gorkiewicz [Autriche] ; Francesca Lunardi [Italie]Source :
- Virchows Archiv : an international journal of pathology [ 1432-2307 ] ; 2020.
Descripteurs français
- KwdFr :
- Anatomopathologie clinique (MeSH), Autopsie (MeSH), Betacoronavirus (MeSH), Europe (MeSH), Humains (MeSH), Infections à coronavirus (anatomopathologie), Maladies pulmonaires (anatomopathologie), Maladies pulmonaires (virologie), Pandémies (MeSH), Pneumopathie virale (anatomopathologie), Poumon (anatomopathologie).
- MESH :
- anatomopathologie : Infections à coronavirus, Maladies pulmonaires, Pneumopathie virale, Poumon.
- virologie : Maladies pulmonaires.
- Anatomopathologie clinique, Autopsie, Betacoronavirus, Europe, Humains, Pandémies.
English descriptors
- KwdEn :
- MESH :
- geographic : Europe.
- pathology : Coronavirus Infections, Lung, Lung Diseases, Pneumonia, Viral.
- virology : Lung Diseases.
- Autopsy, Betacoronavirus, Humans, Pandemics, Pathology, Clinical.
Abstract
Since its initial recognition in December 2019, Coronavirus disease 19 (COVID-19) has quickly spread to a pandemic infectious disease. The causative agent has been recognized as a novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), primarily affecting the respiratory tract. To date, no vaccines are available nor any specific treatment. To limit the number of infections, strict directives have been issued by governments that have been translated into equally rigorous guidelines notably for post-mortem examinations by international and national scientific societies. The recommendations for biosafety control required during specimen collection and handling have strongly limited the practice of autopsies of the COVID-19 patients to a few adequate laboratories. A full pathological examination has always been considered an important tool to better understand the pathophysiology of diseases, especially when the knowledge of an emerging disorder is limited and the impact on the healthcare system is significant. The first evidence of diffuse alveolar damage in the context of an acute respiratory distress syndrome has now been joined by the latest findings that report a more complex scenario in COVID-19, including a vascular involvement and a wide spectrum of associated pathologies. Ancillary tools such as electron microscopy and molecular biology used on autoptic tissue samples from autopsy are also significantly contributing to confirm and/or identify new aspects useful for a deeper knowledge of the pathogenetic mechanisms. This article will review and summarize the pathological findings described in COVID-19 until now, chiefly focusing on the respiratory tract, highlighting the importance of autopsy towards a better knowledge of this disease.
DOI: 10.1007/s00428-020-02886-6
PubMed: 32642842
PubMed Central: PMC7343579
Affiliations:
- Autriche, Espagne, France, Italie, Pays-Bas, Russie, Slovénie
- District fédéral central, Hollande-Méridionale, Provence-Alpes-Côte d'Azur
- Moscou, Nice, Rotterdam
Links toward previous steps (curation, corpus...)
Le document en format XML
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The experience of European Pulmonary Pathologists.</title><author><name sortKey="Calabrese, Fiorella" sort="Calabrese, Fiorella" uniqKey="Calabrese F" first="Fiorella" last="Calabrese">Fiorella Calabrese</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova Medical School, Via A. Gabelli 61, 35121, Padova, Italy. fiorella.calabrese@unipd.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova Medical School, Via A. Gabelli 61, 35121, Padova</wicri:regionArea><wicri:noRegion>Padova</wicri:noRegion></affiliation></author><author><name sortKey="Pezzuto, Federica" sort="Pezzuto, Federica" uniqKey="Pezzuto F" first="Federica" last="Pezzuto">Federica Pezzuto</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova Medical School, Via A. Gabelli 61, 35121, Padova, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova Medical School, Via A. 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Gabelli 61, 35121, Padova, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova Medical School, Via A. Gabelli 61, 35121, Padova</wicri:regionArea><wicri:noRegion>Padova</wicri:noRegion></affiliation></author></analytic><series><title level="j">Virchows Archiv : an international journal of pathology</title><idno type="eISSN">1432-2307</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Autopsy (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Coronavirus Infections (pathology)</term><term>Europe (MeSH)</term><term>Humans (MeSH)</term><term>Lung (pathology)</term><term>Lung Diseases (pathology)</term><term>Lung Diseases (virology)</term><term>Pandemics (MeSH)</term><term>Pathology, Clinical (MeSH)</term><term>Pneumonia, Viral (pathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anatomopathologie clinique (MeSH)</term><term>Autopsie (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Europe (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (anatomopathologie)</term><term>Maladies pulmonaires (anatomopathologie)</term><term>Maladies pulmonaires (virologie)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (anatomopathologie)</term><term>Poumon (anatomopathologie)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Europe</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Maladies pulmonaires</term><term>Pneumopathie virale</term><term>Poumon</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Coronavirus Infections</term><term>Lung</term><term>Lung Diseases</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Maladies pulmonaires</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Lung Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Autopsy</term><term>Betacoronavirus</term><term>Humans</term><term>Pandemics</term><term>Pathology, Clinical</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Anatomopathologie clinique</term><term>Autopsie</term><term>Betacoronavirus</term><term>Europe</term><term>Humains</term><term>Pandémies</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Since its initial recognition in December 2019, Coronavirus disease 19 (COVID-19) has quickly spread to a pandemic infectious disease. The causative agent has been recognized as a novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), primarily affecting the respiratory tract. To date, no vaccines are available nor any specific treatment. To limit the number of infections, strict directives have been issued by governments that have been translated into equally rigorous guidelines notably for post-mortem examinations by international and national scientific societies. The recommendations for biosafety control required during specimen collection and handling have strongly limited the practice of autopsies of the COVID-19 patients to a few adequate laboratories. A full pathological examination has always been considered an important tool to better understand the pathophysiology of diseases, especially when the knowledge of an emerging disorder is limited and the impact on the healthcare system is significant. The first evidence of diffuse alveolar damage in the context of an acute respiratory distress syndrome has now been joined by the latest findings that report a more complex scenario in COVID-19, including a vascular involvement and a wide spectrum of associated pathologies. Ancillary tools such as electron microscopy and molecular biology used on autoptic tissue samples from autopsy are also significantly contributing to confirm and/or identify new aspects useful for a deeper knowledge of the pathogenetic mechanisms. This article will review and summarize the pathological findings described in COVID-19 until now, chiefly focusing on the respiratory tract, highlighting the importance of autopsy towards a better knowledge of this disease.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32642842</PMID><DateCompleted><Year>2020</Year><Month>08</Month><Day>27</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-2307</ISSN><JournalIssue CitedMedium="Internet"><Volume>477</Volume><Issue>3</Issue><PubDate><Year>2020</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Virchows Archiv : an international journal of pathology</Title><ISOAbbreviation>Virchows Arch.</ISOAbbreviation></Journal><ArticleTitle>Pulmonary pathology and COVID-19: lessons from autopsy. The experience of European Pulmonary Pathologists.</ArticleTitle><Pagination><MedlinePgn>359-372</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00428-020-02886-6</ELocationID><Abstract><AbstractText>Since its initial recognition in December 2019, Coronavirus disease 19 (COVID-19) has quickly spread to a pandemic infectious disease. The causative agent has been recognized as a novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), primarily affecting the respiratory tract. To date, no vaccines are available nor any specific treatment. To limit the number of infections, strict directives have been issued by governments that have been translated into equally rigorous guidelines notably for post-mortem examinations by international and national scientific societies. The recommendations for biosafety control required during specimen collection and handling have strongly limited the practice of autopsies of the COVID-19 patients to a few adequate laboratories. A full pathological examination has always been considered an important tool to better understand the pathophysiology of diseases, especially when the knowledge of an emerging disorder is limited and the impact on the healthcare system is significant. The first evidence of diffuse alveolar damage in the context of an acute respiratory distress syndrome has now been joined by the latest findings that report a more complex scenario in COVID-19, including a vascular involvement and a wide spectrum of associated pathologies. Ancillary tools such as electron microscopy and molecular biology used on autoptic tissue samples from autopsy are also significantly contributing to confirm and/or identify new aspects useful for a deeper knowledge of the pathogenetic mechanisms. This article will review and summarize the pathological findings described in COVID-19 until now, chiefly focusing on the respiratory tract, highlighting the importance of autopsy towards a better knowledge of this disease.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Calabrese</LastName><ForeName>Fiorella</ForeName><Initials>F</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-5351-9226</Identifier><AffiliationInfo><Affiliation>Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova Medical School, Via A. Gabelli 61, 35121, Padova, Italy. fiorella.calabrese@unipd.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pezzuto</LastName><ForeName>Federica</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova Medical School, Via A. Gabelli 61, 35121, Padova, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fortarezza</LastName><ForeName>Francesco</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova Medical School, Via A. Gabelli 61, 35121, Padova, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hofman</LastName><ForeName>Paul</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Laboratory of Clinical and Experimental Pathology, FHU OncoAge, Biobank BB-0033-00025, University Côte d'Azur, Nice, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kern</LastName><ForeName>Izidor</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>University Clinic of Respiratory and Allergic Diseases, Golnik, Slovenia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Panizo</LastName><ForeName>Angel</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>von der Thüsen</LastName><ForeName>Jan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Pathology, Erasmus MC, Rotterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Timofeev</LastName><ForeName>Sergei</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Moscow City Hospital #40, Moscow, Russia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gorkiewicz</LastName><ForeName>Gregor</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Institute of Pathology, Medical University of Graz, Graz, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lunardi</LastName><ForeName>Francesca</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova Medical School, Via A. Gabelli 61, 35121, Padova, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Virchows Arch</MedlineTA><NlmUniqueID>9423843</NlmUniqueID><ISSNLinking>0945-6317</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001344" MajorTopicYN="N">Autopsy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" 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