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                <text>Dominio científico: Coronavirus</text>
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              <text>Severe COVID-19, Another Piece in the Puzzle of the Hyperferritinemic Syndrome. An Immunomodulatory Perspective to Alleviate the Storm</text>
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              <text>Roberto Giacomelli, Yehuda Shoenfeld, Paola Cipriani, Piero Ruscitti, Paola Di Benedetto, Onorina Berardicurti, Anna Maria Iagnocco</text>
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              <text>The coronavirus disease 2019 (COVID-19), an acute respiratory disease caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), has been declared as a worldwide public health emergency. Interestingly, severe COVID-19 is characterized by fever, hyperferritinemia, and a hyper-inflammatory process with a massive release of pro-inflammatory cytokines, which may be responsible for the high rate of mortality. These findings may advocate for a similarity between severe COVID-19 and some challenging rheumatic diseases, such as adult onset Still's disease, secondary hemophagocytic lymphohistiocytosis, and catastrophic anti-phospholipid syndrome, which have been included in the “hyperferritinemic syndrome” category. Furthermore, as performed in these hyper-inflammatory states, severe COVID-19 may benefit from immunomodulatory therapies.</text>
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              <text>2020</text>
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              <text>Hyperferritinemia, adult-onset Still's disease, Haemophagocytic lymphohistiocytosis, Hyper-inflammation, COVID-19, hyperferritinaemic syndrome</text>
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              <text>DOI: 10.3389/fimmu.2020.01130</text>
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              <text>Frontiers in Immunology</text>
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              <text>Frontiers Media S.A.</text>
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          <name>Coverage</name>
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              <text>Immunologic diseases. Allergy</text>
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