In the wake of the novel coronavirus infection disease 2019 (COVID-19) pandemic, it is abundantly clear to all the necessity of studying the pathology and widespread health consequences associated with the virus. However, what is much less clear is the impact of COVID-19 on specialist medical skills. COVID-19 disrupted routines in hospitals, healthcare institutions, and beyond. During the COVID-19 pandemic, Lombard Internal Medicine Departments, present in all the hospitals of the Lombardy Region - were quickly and promptly reorganized, becoming primarily areas for the management of patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia.1 This because, as the numerous recent studies, also published by our group, have shown, SARS-CoV-2 disease showed a clinical and pathophysiological picture very similar to that of inflammatory diseases with multisystemic involvement and organ damage that went from vasculitic skin damage2 to microangiopathic and thrombotic damage.3,4 This is due to the cytokine storm development inducing extensive lung damage in which cells of the inflammatory cascade play a fundamental role as known in viral and bacterial infections.
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