Post-COVID Syndrome in Adults-An Overview

Viruses. 2023 Mar 4;15(3):675. doi: 10.3390/v15030675.

Abstract

This article provides an overview of various aspects related to post-COVID syndrome. Apart from its prevalence, symptoms and sequelae, risk determinants, and psychosocial implications, the pathogenesis of post-COVID condition is discussed in more detail. A focus on thrombo-inflammation in SARS-CoV-2 infection, the role of neutrophil extracellular traps, and the prevalence of venous thromboembolism is made. Moreover, COVID-19 and post-COVID syndrome in immunocompromising conditions, and the impact of vaccination on the prevention and treatment of post-COVID symptoms are reviewed. Autoimmunity is a hallmark of post-COVID syndrome, and, therefore, is another focus of this article. Thus, misdirected cellular and humoral immune responses can enhance the risk of latent autoimmunity in post-COVID syndrome. Facing the high prevalence of COVID-19 cases worldwide, it can be assumed that autoimmune disorders will increase globally over the next few years. Recent advances in identifying genetically determined variants may open the avenue for a better understanding of the susceptibility to and severity of SARS-CoV-2 infection and post-COVID syndrome.

Keywords: autoimmunity; hypercoagulability; hyperinflammation; immunocompromised condition; post-COVID syndrome; psychosocial implications; thrombo-inflammation; vaccination.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Autoimmune Diseases*
  • Autoimmunity
  • COVID-19*
  • Disease Progression
  • Humans
  • SARS-CoV-2

Grants and funding

R.E.S. is supported by the German Research Foundation (Deutsche Forschungsgemeinschaft, DFG, Scha-358-4-1; SFB 612), and is recipient of an Erwin Deutsch grant from the German, Austrian and Swiss Society of Thrombosis and Hemostasis Research (GTH).