Frontiers in Endocrinology,
Journal Year:
2022,
Volume and Issue:
12
Published: Jan. 4, 2022
Objectives
Recently,
a
number
of
reports
have
described
the
potential
relationship
between
COVID-19
and
thyroid
hormones,
but
results
were
conflicting.
We
performed
meta-analysis
to
evaluate
effect
severity
on
thyroid-related
hormones
outcome
in
order
try
confirm
association
serum
levels
free
triiodothyronine
(FT3),
thyroxine
(FT4)
stimulating
hormone
(TSH)
or
mortality
coronavirus-19
patients.
Methods
The
methodology
was
already
registered
International
Prospective
Register
Systematic
Reviews
(PROSPERO)
database,
protocol
is
CRD42021269246.
searches
carried
out
Cochrane
Library,
Embase,
PubMed
Web
Science
databases
November
15,
2021.
set
up
literature
search
strategy
based
following
keywords:
[(T3
OR
FT3
triiodothyronine)
(T4
FT4
thyroxine)
(TSH
thyrotropin)]
(COVID-19
SARS-CoV-2),
without
time
restrictions.
Results
Twenty
studies
satisfied
inclusion/exclusion
criteria
included
meta-analysis.
A
total
3609
patients
enrolled
study.
From
analysis
studies,
incidence
abnormalities
higher
with
severe
COVID-19,
TSH
lower
than
those
nonsevere
COVID-19.
However,
difference
not
significant.
Similar
characteristics
shown
survivors
nonsurvivors.
In
addition,
outcomes
showed
that
abnormal
had
greater
mortality.
Conclusions
Low
levels,
low
may
increase
during
admission.
On
other
hand,
level
probability
decreases
FT3,
FT4,
levels.
Reviews in Endocrine and Metabolic Disorders,
Journal Year:
2021,
Volume and Issue:
22(4), P. 1027 - 1039
Published: May 5, 2021
Abstract
Subacute
thyroiditis
(SAT)
is
a
thyroid
inflammatory
disease,
whose
pathogenesis
and
determinants
of
the
clinical
course
were
unclear
for
many
decades.
The
last
few
years
have
brought
clinically
significant
new
data
on
epidemiology,
management
SAT.
Several
human
leukocyte
antigen
(HLA)
alleles
demonstrated
not
only
to
increase
risk
SAT,
but
also
correlate
with
SAT
determine
recurrence.
world-wide
epidemic
coronavirus
disease
19
(COVID-19)
has
provided
observations
that
severe
acute
respiratory
syndrome-coronavirus-2
(SARS-CoV-2)
can
be
potent
SAT-triggering
factor,
in
patients
affected
by
COVID-19
different
from
typical
one.
Additionally,
trends
are
emerging.
In
years,
painless
more
often
described,
constituting
special
challenge
hospitalized
due
COVID-19.
Despite
an
excellent
availability
diagnostic
methods,
several
difficulties
differential
diagnosis
currently
encountered
proper
treatment
frequently
delayed.
False
positive
diagnoses
malignancies
poor
prognosis
constitute
life-threatening
problem.
Taking
into
account
all
aspects
its
course,
–
modified
criteria
been
proposed.
Drug Discoveries & Therapeutics,
Journal Year:
2021,
Volume and Issue:
15(5), P. 254 - 260
Published: Oct. 29, 2021
Post
COVID-19
sequelae
are
a
constellation
of
symptoms
often
reported
after
recovering
from
COVID-19.
There
is
need
to
better
understand
the
clinical
spectrum
and
long-term
course
this
entity.
The
aim
study
describe
features
risk
factors
post
in
North
Indian
population.
This
prospective
observational
was
conducted
at
tertiary
healthcare
centre
Northern
India
between
October
2020
February
2021.
Patients
aged
>18
years
with
laboratory-confirmed
were
recruited
least
two
weeks
diagnosis,
details
captured.
A
total
1234
patients
followed
up
for
median
duration
91
days
(IQR:
45-181
days).
Among
them,
495
(40.1%)
had
persistent
post-discharge
or
recovery.
In
223
(18.1%)
patients,
resolved
within
four
weeks;
150
(12.1%)
till
12
weeks,
122
(9.9%)
beyond
diagnosis/symptom-onset
Most
common
included
myalgia
(10.9%),
fatigue
(5.5%),
shortness
breath
(6.1%),
cough
(2.1%),
insomnia
(1.4%),
mood
disturbances
(0.48%)
anxiety
(0.6%).
who
hospitalized
more
likely
report
as
feature
long
COVID.
Hypothyroidism
(OR:
4.13,
95%
CI:
2.2-7.6,
p-value
<
0.001)
hypoxia
(SpO2
≤
93%)
1.7,
1.1-2.4,
0.012)
identified
COVID
sequelae.
conclusion,
(22%),
9.9%
syndrome.
Myalgias,
dyspnoea
symptoms.
hypothyroidism
during
acute
illness
higher
Bosnian Journal of Basic Medical Sciences,
Journal Year:
2022,
Volume and Issue:
unknown
Published: Sept. 16, 2022
The
SARS-CoV-2
infection
causes
COVID-19,
which
has
affected
approximately
six
hundred
million
people
globally
as
of
August
2022.
Organs
and
cells
harboring
angiotensin-converting
enzyme
2
(ACE2)
surface
receptors
are
the
primary
targets
virus.
However,
once
it
enters
body
through
respiratory
system,
virus
can
spread
hematogenously
to
infect
other
organs.
Therefore,
COVID-19
affects
many
organs,
causing
severe
long-term
complications,
even
after
disease
ended,
thus
worsening
quality
life.
Although
is
known
that
system
most
by
infection,
organs/systems
in
short
long
term.
Since
simultaneously
redesigning
diagnostic
therapy
policies
fit
damaged
organs
strongly
recommended.
Even
though
pathophysiology
problems
unknown,
frequency
cases
rises
with
age
existence
preexisting
symptoms.
This
study
aims
update
our
knowledge
multi-organ
dysfunction
interaction
based
on
clinical
theoretical
evidence.
For
this
purpose,
comprehensively
elucidates
recent
studies
effects
multiple
systems,
including
respiratory,
cardiovascular,
gastrointestinal,
renal,
nervous,
endocrine,
reproductive,
immune,
parts
integumentary
system.
Understanding
range
atypical
symptoms
could
improve
surveillance,
limit
transmission,
avoid
additional
multi-organ-system
problems.
Life Sciences,
Journal Year:
2023,
Volume and Issue:
319, P. 121531 - 121531
Published: Feb. 27, 2023
SARS-CoV-2
virus
has
attracted
a
lot
of
attention
globally
due
to
the
autoimmune
and
inflammatory
processes
that
were
observed
during
development
Covid-19
disease.
Excessive
activation
immune
response
triggering
autoantibodies
synthesis
as
well
an
excessive
cytokines
onset
cytokine
storm
vital
role
in
disease
outcome
occurring
complications.
This
scenario
is
reminiscent
infiltration
lymphocytes
monocytes
specific
organs
increased
production
chemoattractants
noted
other
diseases.
The
main
goal
this
study
investigate
complex
occur
find
similarities
with
diseases
such
multiple
sclerosis
(MS),
acute
respiratory
distress
syndrome
(ARDS),
rheumatoid
arthritis
(RA)
Kawasaki
advance
existing
diagnostic
therapeutic
protocols.
therapy
Interferon-gamma
(IFN-γ)
use
S1P
receptor
modulators
showed
promising
results.
However,
there
are
many
unknowns
about
these
mechanisms
possible
novel
therapies.
Therefore,
inflammation
autoimmunity
triggered
by
should
be
further
investigated
improve
procedures
protocols
for
Covid-19.
Journal of Endocrinological Investigation,
Journal Year:
2021,
Volume and Issue:
44(9), P. 1801 - 1814
Published: March 25, 2021
Abstract
Background
Thyroid
dysfunction
has
been
observed
in
patients
with
COVID-19,
and
endocrinologists
are
requested
to
understand
this
clinical
issue.
Pandemic-related
restrictions
reorganization
of
healthcare
services
may
affect
thyroid
disease
management.
Objective
methods
To
analyze
discuss
the
relationship
between
COVID-19
diseases
from
several
perspectives.
PubMed/MEDLINE,
Google
Scholar,
Scopus,
ClinicalTrial.gov
were
searched
for
purpose
by
using
free
text
words
medical
subject
headings
as
follows:
“sars
cov
2”,
“covid
19”,
“subacute
thyroiditis”,
“atypical
“chronic
“hashimoto’s
“graves’
disease”,
“thyroid
nodule”,
“differentiated
cancer”,
“medullary
“methimazole”,
“levothyroxine”,
“multikinase
inhibitor”,
“remdesivir”,
“tocilizumab”.
Data
collected,
analyzed,
discussed
answer
following
questions:
“What
evidence
suggests
that
induce
detrimental
consequences
on
function?";
"Could
previous
or
concomitant
deteriorate
prognosis
once
infection
occurred?”;
“Could
management
influence
course
COVID-19?”;
“Does
interfere
function?”;
“Are
there
defined
strategies
better
manage
endocrine
despite
restrictive
measures
in-hospital
ambulatory
activities
reorganizations?”.
Results
SARS-CoV-2
is
usually
reversible,
including
subclinical
atypical
thyroiditis.
Patients
baseline
not
at
higher
risk
contracting
transmitting
SARS-CoV-2,
does
foster
a
worse
progression
COVID-19.
However,
it
unclear
whether
low
levels
triiodothyronine,
seriously
ill
worsen
disease's
and,
consequently,
if
triiodothyronine
supplementation
could
be
tool
reducing
burden.
Glucocorticoids
heparin
hormone
secretion
measurement,
respectively,
leading
possible
misdiagnosis
severe
cases
High-risk
nodules
require
fine-needle
aspiration
without
relevant
delay,
whereas
other
non-urgent
diagnostic
procedures
therapeutic
interventions
should
postponed.
Discussion
Currently,
we
know
lead
short-term
reversible
dysfunction,
but
seem
Adequate
remains
essential
during
pandemic,
compromised
because
service
restrictions.
Endocrine
care
centers
continuously
recognize
classify
priority
in-person
visits
procedures.
Telemedicine
useful
managing
requiring
visits.