onverting enzyme 2 [2,5]. The estimated mortality rate for COVID-19 is about 2.3%, with a range of 6 to 41 days from the onset of symptoms to death [6,7]. The prominent pathological changes in lungs include edema, proteinaceous exudate, and multinucleated pneumocytes [8,9]. We here first report the lipid pathophysiology in COVID-19. 2 Methods We performed a retrospective longitudinal analysis of COVID-19 patie