The Curbsiders Internal Medicine Podcast

#315 Long COVID

Jan 10, 2022
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INSIGHT

Multiple Definitions, Same Clinical Need

  • Long COVID has many names (Long COVID, post-COVID conditions, PASC) with slightly different timing definitions.
  • Focus on validating symptoms and assessing whether an alternative diagnosis explains them.
INSIGHT

Multifactorial Pathogenesis

  • Proposed mechanisms include post-inflammatory changes, immune dysregulation, autoantibodies, and possible viral persistence.
  • Ongoing research is needed; several mechanisms may act together in different patients.
INSIGHT

Not New, But Much Bigger

  • Post-viral syndromes are not unique to SARS-CoV-2; similar sequelae appeared after Ebola, SARS-1, and other infections.
  • The scale of COVID-19 magnified recognition and demand for care.
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