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Αλέξανδρος Γ. Σφακιανάκης

Thursday, May 13, 2021

Subacute Thyroiditis in COVID-19 Patients

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Ear Nose Throat J. 2021 May 11:1455613211012114. doi: 10.1177/01455613211012114. Online ahead of print.

ABSTRACT

OBJECTIVE: As a result of the COVID-19 pandemic that occurred in the last year, it has been revealed that severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) does not only cause viral respiratory tract infection but can also affect many organs in the short or long term. In our study, we aimed to reveal that COVID-19 infection affects the endocrine system and triggers subacute thyroiditis (SAT) in the acute period.

MATERIAL AND METHOD: In our retrospective study, the ear-nose-throat examination, internal diseases consultation (investigation of COVID-19 symptoms and polymerase chain reaction [PCR] test), routine blood tests, T3, T4, thyroid-stimulating hormone, antithyroglobulin (anti-TG), antithyroid peroxidase (anti-TPO), thyroid scintigraphy, and thyroid ultrasonography results of 5 patients who applied to the otorhinolaryngology clinic due to complaints of neck pain and odynophagia between April 2020 and February 2021 were examined.

FINDINGS: All 5 patients were female patients (30.4 years) with odynophagia and pain in the front lower region of the neck. These patients had no previous history of thyroiditis. COVID-19 PCR tests of the patients diagnosed with SAT were positive, and there were no typical COVID-19 signs and symptoms except odynophagia and neck pain.

RESULT: It comes in view that SARS-COV-2 affects th yroid functions and causes SAT and the main symptoms in patients are pain in the neck and odynophagia.

PMID:33974811 | DOI:10.1177/01455613211012114

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