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亚急性甲状腺炎作为 COVID-19 的表现之一:一个极其罕见的临床实体的报告。

Subacute thyroiditis as a presenting manifestation of COVID-19: a report of an exceedingly rare clinical entity.

机构信息

Internal Medicine, RG Kar Medical College and Hospital, Kolkata, West Bengal, India.

Internal Medicine, RG Kar Medical College and Hospital, Kolkata, West Bengal, India

出版信息

BMJ Case Rep. 2020 Dec 18;13(12):e239953. doi: 10.1136/bcr-2020-239953.

DOI:10.1136/bcr-2020-239953
PMID:33370933
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10577769/
Abstract

The SARS-CoV-2 has wreaked havoc globally and has claimed innumerable lives all over the world. The symptoms of this disease may range from mild influenza-like symptoms to severe acute respiratory distress syndrome with high morbidity and mortality. With improved diagnostic techniques and better disease understanding, an increased number of cases are being reported with extrapulmonary manifestations of this disease ranging from renal and gastrointestinal to cardiac, hepatic, neurological and haematological dysfunction. Subacute thyroiditis is a self-limiting and painful thyroid gland inflammation most often secondary to viral infections. We report a case of subacute thyroiditis in a 58-year-old gentleman presenting with a painful swelling in the neck who was subsequently detected to be positive for SARS-CoV-2. We seek to highlight the broad clinical spectrum of the COVID-19 by reporting probably the first case of subacute thyroiditis possibly induced by SARS-CoV-2 infection from India.

摘要

SARS-CoV-2 在全球范围内造成了严重破坏,在世界各地夺走了无数人的生命。这种疾病的症状可能从轻微的流感样症状到严重的急性呼吸窘迫综合征不等,具有高发病率和死亡率。随着诊断技术的提高和对疾病认识的加深,越来越多的病例被报告,这种疾病的肺外表现从肾脏和胃肠道到心脏、肝脏、神经系统和血液系统功能障碍都有。亚急性甲状腺炎是一种自限性的、疼痛的甲状腺炎,最常见于病毒感染后。我们报告了一例 58 岁男性的亚急性甲状腺炎病例,他的颈部出现疼痛性肿胀,随后被检测出 SARS-CoV-2 呈阳性。我们试图通过报告可能来自印度的首例由 SARS-CoV-2 感染引起的亚急性甲状腺炎病例来强调 COVID-19 的广泛临床谱。

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Subacute thyroiditis associated with COVID-19.与新型冠状病毒肺炎相关的亚急性甲状腺炎
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Is Subacute Thyroiditis an Underestimated Manifestation of SARS-CoV-2 Infection? Insights From a Case Series.亚急性甲状腺炎是 SARS-CoV-2 感染的被低估表现吗?一项病例系列研究的启示。
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