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10.1530/EJE-20-0335

http://scihub22266oqcxt.onion/10.1530/EJE-20-0335
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32698147!9494315!32698147
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suck abstract from ncbi


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pmid32698147      Eur+J+Endocrinol 2020 ; 183 (4): 381-387
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  • Thyrotoxicosis in patients with COVID-19: the THYRCOV study #MMPMID32698147
  • Lania A; Sandri MT; Cellini M; Mirani M; Lavezzi E; Mazziotti G
  • Eur J Endocrinol 2020[Oct]; 183 (4): 381-387 PMID32698147show ga
  • OBJECTIVE: This study assessed thyroid function in patients affected by the coronavirus disease-19 (COVID-19), based on the hypothesis that the cytokine storm associated with COVID-19 may influence thyroid function and/or the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may directly act on thyroid cells, such as previously demonstrated for SARS-CoV-1 infection. DESIGN AND METHODS: This single-center study was retrospective and consisted in evaluating thyroid function tests and serum interleukin-6 (IL-6) values in 287 consecutive patients (193 males, median age: 66 years, range: 27-92) hospitalized for COVID-19 in non-intensive care units. RESULTS: Fifty-eight patients (20.2%) were found with thyrotoxicosis (overt in 31 cases), 15 (5.2%) with hypothyroidism (overt in only 2 cases), and 214 (74.6%) with normal thyroid function. Serum thyrotropin (TSH) values were inversely correlated with age of patients (rho -0.27; P < 0.001) and IL-6 (rho -0.41; P < 0.001). In the multivariate analysis, thyrotoxicosis resulted to be significantly associated with higher IL-6 (odds ratio: 3.25, 95% confidence interval: 1.97-5.36; P < 0.001), whereas the association with age of patients was lost (P = 0.09). CONCLUSIONS: This study provides first evidence that COVID-19 may be associated with high risk of thyrotoxicosis in relationship with systemic immune activation induced by the SARS-CoV-2 infection.
  • |Adult[MESH]
  • |Age Factors[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Betacoronavirus/*immunology[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/blood/*complications/immunology[MESH]
  • |Cytokines/blood/immunology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Hypothyroidism/epidemiology/immunology/virology[MESH]
  • |Interleukin-6/blood/immunology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Odds Ratio[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/blood/*complications/immunology[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2[MESH]
  • |Thyroid Function Tests[MESH]
  • |Thyroid Gland/immunology/virology[MESH]
  • |Thyrotoxicosis/epidemiology/immunology/*virology[MESH]


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