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A Case of Subacute Thyroiditis following COVID-19 Infection

Background/Objective. Since the start of the pandemic, COVID-19 has been associated with several postinfection complications. Subacute thyroiditis (SAT) is an inflammatory disorder of the thyroid that has been reported in the literature following COVID-19 infection. We report a case of SAT following...

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Autores principales: Elawady, Sameh Samir, Phuyal, Diwakar, Shah, Rakesh Kumar, Mirza, Lubna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9174011/
https://www.ncbi.nlm.nih.gov/pubmed/35685291
http://dx.doi.org/10.1155/2022/2211061
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author Elawady, Sameh Samir
Phuyal, Diwakar
Shah, Rakesh Kumar
Mirza, Lubna
author_facet Elawady, Sameh Samir
Phuyal, Diwakar
Shah, Rakesh Kumar
Mirza, Lubna
author_sort Elawady, Sameh Samir
collection PubMed
description Background/Objective. Since the start of the pandemic, COVID-19 has been associated with several postinfection complications. Subacute thyroiditis (SAT) is an inflammatory disorder of the thyroid that has been reported in the literature following COVID-19 infection. We report a case of SAT following COVID-19 infection. Case Report. A 33-year-old female presented with neck pain two weeks after resolution of COVID-19 infection. Her thyroid function tests together with ultrasonographic pictures were consistent with SAT. She was treated with three rounds of medrol dose pack without relief. She then required oral prednisone 40 mg per day and ibuprofen 800 mg once daily for another several weeks that eventually resulted in improvement of her symptoms. Discussion. SAT most commonly occurs in females during or after viral infection. The usual course of the disease is hyperthyroidism then hypothyroidism followed by resolution. SAT is clinically diagnosed by lab findings of decreased TSH in the setting of negative thyroid-stimulating and thyroid peroxidase antibodies. All these data are consistent with our case. Conclusion. SAT following COVID-19 infection presents with a similar clinical presentation and course as the classic form of SAT, but we should consider the fact that a high-dose corticosteroid treatment might be necessary for such patients.
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spelling pubmed-91740112022-06-08 A Case of Subacute Thyroiditis following COVID-19 Infection Elawady, Sameh Samir Phuyal, Diwakar Shah, Rakesh Kumar Mirza, Lubna Case Rep Endocrinol Case Report Background/Objective. Since the start of the pandemic, COVID-19 has been associated with several postinfection complications. Subacute thyroiditis (SAT) is an inflammatory disorder of the thyroid that has been reported in the literature following COVID-19 infection. We report a case of SAT following COVID-19 infection. Case Report. A 33-year-old female presented with neck pain two weeks after resolution of COVID-19 infection. Her thyroid function tests together with ultrasonographic pictures were consistent with SAT. She was treated with three rounds of medrol dose pack without relief. She then required oral prednisone 40 mg per day and ibuprofen 800 mg once daily for another several weeks that eventually resulted in improvement of her symptoms. Discussion. SAT most commonly occurs in females during or after viral infection. The usual course of the disease is hyperthyroidism then hypothyroidism followed by resolution. SAT is clinically diagnosed by lab findings of decreased TSH in the setting of negative thyroid-stimulating and thyroid peroxidase antibodies. All these data are consistent with our case. Conclusion. SAT following COVID-19 infection presents with a similar clinical presentation and course as the classic form of SAT, but we should consider the fact that a high-dose corticosteroid treatment might be necessary for such patients. Hindawi 2022-05-31 /pmc/articles/PMC9174011/ /pubmed/35685291 http://dx.doi.org/10.1155/2022/2211061 Text en Copyright © 2022 Sameh Samir Elawady et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Elawady, Sameh Samir
Phuyal, Diwakar
Shah, Rakesh Kumar
Mirza, Lubna
A Case of Subacute Thyroiditis following COVID-19 Infection
title A Case of Subacute Thyroiditis following COVID-19 Infection
title_full A Case of Subacute Thyroiditis following COVID-19 Infection
title_fullStr A Case of Subacute Thyroiditis following COVID-19 Infection
title_full_unstemmed A Case of Subacute Thyroiditis following COVID-19 Infection
title_short A Case of Subacute Thyroiditis following COVID-19 Infection
title_sort case of subacute thyroiditis following covid-19 infection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9174011/
https://www.ncbi.nlm.nih.gov/pubmed/35685291
http://dx.doi.org/10.1155/2022/2211061
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