Evidence map›Paper›PMID 33932720›Full record

ArticlePathology, research and practice2021

Liver histopathology in COVID-19 patients: A mono-Institutional series of liver biopsies and autopsy specimens.

Matteo Fassan, Claudia Mescoli, Marta Sbaraglia, Vincenza Guzzardo, Francesco Paolo Russo, Roberto Fabris, Marco Trevenzoli, Filippo Pelizzaro, Anna Maria Cattelan, Cristina Basso and 4 more

Open access · greenAbstract read
In one paragraph

Article in Pathology, research and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.5field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. COVID-19 Infection, Drugs, and Liver Injury.Journal of clinical medicine · 2025
    Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Effect of SARS-CoV-2 infection on the liver.World journal of virology · 2023
    Review
  11. Review
  12. Review
  13. SARS-CoV-2-mediated liver injury: pathophysiology and mechanisms of disease.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
    Review
  14. Review
  15. COVID-19: Has the Liver Been Spared?International journal of molecular sciences · 2023
    Review
  16. Review
  17. Review
  18. Article
  19. Organ manifestations of COVID-19: what have we learned so far (not only) from autopsies?Virchows Archiv : an international journal of pathology · 2022
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Matteo FassanDepartment of Medicine (DIMED), University of Padua, Padua, Italy. Electronic address: matteo.fassan@unipd.it.
Claudia MescoliDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Marta SbaragliaDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Vincenza GuzzardoDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Francesco Paolo RussoDepartment of Surgery, Oncology & Gastroenterology, University of Padua, Padua, Italy.
Roberto FabrisDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Marco TrevenzoliDepartment of Medicine, Infectious Diseases Unit, University Hospital of Padua, Padua, Italy.
Filippo PelizzaroDepartment of Surgery, Oncology & Gastroenterology, University of Padua, Padua, Italy.
Anna Maria CattelanDepartment of Medicine, Infectious Diseases Unit, University Hospital of Padua, Padua, Italy.
Cristina BassoDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Paolo NavalesiDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Fabio FarinatiDepartment of Surgery, Oncology & Gastroenterology, University of Padua, Padua, Italy.
Roberto VettorDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Angelo Paolo Dei TosDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
University of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Few studies have focused on COVID-19 patients' hepatic histopathological features. Many of the described morphological landscapes are non-specific and possibly due to other comorbidities or to Sars-CoV-2-related therapies. We describe the hepatic histopathological findings of 3 liver biopsies obtained from living COVID-19 patients in which active SARS-CoV-2 infection was molecularly confirmed and biopsied because of significant alterations of liver function tests and 25 livers analyzed during COVID-19-related autopsies. Main histopathological findings were (i) the absence of significant biliary tree or vascular damages, (ii) mild/absent lymphocytic hepatitis; (iii) activation of (pigmented) Kupffer cells, (iv) hepatocellular regenerative changes, (v) the presence of steatosis, (vi) sinusoidal ectasia, micro-thrombosis and acinar atrophy in autopsy specimens No viral particle actively infecting the hepatic or endothelial cells was detected at in situ hybridization. The morphological features observed within the hepatic parenchyma are not specific and should be considered as the result of an indirect insult resulting from the viral infection or the adopted therapeutic protocols.

Indexed as

AgedAged, 80 and overAutopsyBiopsyCOVID-19FemaleHumansLiver DiseasesMaleMiddle AgedSARS-CoV-2COVID19LiverPathologySARS-CoV-2

Identifiers

PMID33932720
PMCPMC8054534
OpenAlexW3155464030

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.