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Table 1 SARS-CoV-2 specific criteria of histopathologic examination scoring

From: Ultra- and micro-structural changes of respiratory tracts in SARS-CoV-2 infected Syrian hamsters

Organ

Type of lesions

Representative lesions

Trachea

Lamina Propria

Submucosa

Inflammatory cell infiltration

Edema

Lumen

Potein-rich exudate

Cellular exudate; inflammatory cell

Cellular exudate; desquamated cell debris

Hemorrhage

Epithelium

Inflammatory cell infiltration

Morphological change of epithelial cell

Loss of epithelial cilia

Loss of intercellular integrity

Detached epithelium from basement membrane

Lung

Inflammation

 Peribronchiolar

Inflammatory cell infiltration

Parabronchiolar inflammation

 Perivascular

Inflammatory cell infiltration

Hyperemia

 Bronchiole lumen

Protein rich exudate

Cellular exudate

Floating detached epithelial cell

Infiltrate into alveolar space

Bronchiole epithelium damage

Morphological change of epithelial cell

Loss of epithelial cilia

Detached epithelium from basement membrane

Interstitial pneumonia

Thickened alveolar wall

Inflammatory cell infiltration into alveolar wall

Proportion of lesion

Hemorrhage

Blood leakage from vessels into perivascular region alveolar space

  1. Each parameter has a range of 0 to 3 by its severity or proportion.
  2. 0: normal or under 10%; 1: mild or 10 to 40%; 2: moderate or 40 to 70%; 3: severe or over 70%.
  3. The sum of score may represent the severity of each organ.