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2020 ; 14
(5
): 767-771
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Managing common endocrine disorders amid COVID-19 pandemic
#MMPMID32521463
Pal R
; Bhadada SK
Diabetes Metab Syndr
2020[Sep]; 14
(5
): 767-771
PMID32521463
show ga
BACKGROUND AND AIMS: The novel coronavirus disease (COVID-19) pandemic and the
resulting nationwide lockdowns have posed a major challenge to the management of
pre-existing and newly diagnosed endocrine disorders. Herein, we have summarized
the management approaches of common endocrine disorders amid the ongoing
pandemic. METHODS: We have performed an extensive literature search for articles
in PubMed, EMBASE and Google Scholar databases till 25 May 2020, with the
following keywords: "COVID-19", "diabetes mellitus", "thyroid disorders",
"primary adrenal insufficiency", "Cushing's syndrome", "pituitary tumors",
"vitamin D?", "osteoporosis", "primary hyperparathyroidism",
"hypoparathyroidism", "management", "treatment" and "guidelines" with
interposition of the Boolean operator "AND". RESULTS: We have summarized the most
feasible strategies for the management of diabetes mellitus, thyroid disorders,
primary adrenal insufficiency (including congenital adrenal hyperplasia),
Cushing's syndrome, pituitary tumors, osteoporosis, primary hyperparathyroidism
and hypoparathyroidism amid the constraints laid down by the raging pandemic. In
general, medical management should be encouraged and surgical interventions
should be deferred whenever possible. Ongoing medications should be continued.
Sick-day rules should be sincerely adhered to. Regular contact with physicians
can be maintained through teleconsultations and virtual clinics. CONCLUSIONS:
Considering the burden of endocrine disorders in the general population, their
management needs to be prioritized amid the ongoing COVID-19 pandemic.