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Table 1 The similarities and the differences in thrombosis and laboratory data between COVID-19 and differential diseases

From: The unique characteristics of COVID-19 coagulopathy

 

Primary cause and target of coagulopathy

Thrombo-embolism

Platelet count

D-dimer

PT/aPTT

fibrinogen

Anti-thrombin

Activated complement system/VWF

Antiphospho-lipid antibody

Inflammatory cytokines (IL-1β, IL-6)

COVID-19

Macrophage/endothelial cell

Microthrombosis/venous thrombosis

↑〜↓

↑

→〜↑

↑

→

+

+

↑

DIC/SIC

Macrophage/endothelial cell

Microthrombosis

↓

↑

↑

→〜↓

↓

–

–

↑

HPS

Inflammatory cytokines

Microthrombosis/venous thrombosis

↓

→

→

→

→

–

–

↑

APS

Antiphospho-lipid antibody

Arterial/venous thrombosis

↓

→

PT →

aPTT ↑

→

→

–

+

–

TMA (aHUS/TTP)

Complement system/ADAMTS13

Microthrombosis/arterial/venous thrombosis

↓

→〜↑

→

→

→

aHUS +/–TTP –/+

–

–

  1. DIC disseminated intravascular coagulation, SIC sepsis-induced coagulopathy, HPS hemophagocytic syndrome, APS antiphospholipid syndrome, TMA thrombotic microangiopathy, aHUS atypical hemolytic uremic syndrome, TTP thrombotic thrombocytopenic purpura, PT prothrombin time, aPTT activated partial thromboplastin time, VWF von Willebrand factor, IL interleukin