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COVID-19 后亚急性甲状腺炎。

Subacute thyroiditis after COVID-19.

出版信息

Tidsskr Nor Laegeforen. 2021 Jun 28;141(10). doi: 10.4045/tidsskr.21.0169. Print 2021 Jun 29.

Abstract

BACKGROUND

Since the beginning of the pandemic we have learned much about acute organ complications due to COVID-19, but we are still only beginning to understand the post-infection complications.

CASE PRESENTATION

A man in his forties was diagnosed with subacute thyroiditis after a mild COVID-19 infection. This is an important differential diagnosis to consider if after a period of improvement, an infected patient develops fever, pain around the region of the thyroid (throat/neck) and/or symptoms of hyperthyroidism.

INTERPRETATION

Subacute thyroiditis is thought to be initiated by a viral infection or postviral inflammatory process, often in patients with a history of an upper respiratory infection typically two to eight weeks prior to the onset of thyroiditis. The condition is believed to be triggered by an antigen created by the virus. Subacute thyroiditis must be on the list of possible differential diagnoses in patients with COVID-19 whose condition deteriorates after a period of improvement.

摘要

背景

自疫情开始以来,我们已经了解了很多由 COVID-19 引起的急性器官并发症,但我们才刚刚开始了解感染后的并发症。

病例介绍

一名四十多岁的男子在轻度 COVID-19 感染后被诊断为亚急性甲状腺炎。如果在病情改善一段时间后,感染患者出现发热、甲状腺区域(喉咙/颈部)疼痛和/或甲状腺功能亢进的症状,这是需要考虑的一个重要鉴别诊断。

解读

亚急性甲状腺炎被认为是由病毒感染或病毒后炎症过程引起的,通常发生在上呼吸道感染史的患者中,在上呼吸道感染后两到八周出现甲状腺炎。这种情况被认为是由病毒产生的抗原引发的。在 COVID-19 患者中,如果病情在改善一段时间后恶化,亚急性甲状腺炎必须是可能的鉴别诊断之一。

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