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COVID-19 疫苗接种与甲状腺炎。

COVID-19 vaccination and thyroiditis.

机构信息

Division of Endocrinology and Metabolism, Department of Internal Medicine, Hacettepe University School of Medicine, Ankara, Turkey.

Division of Endocrinology and Metabolism, Department of Internal Medicine, Hacettepe University School of Medicine, Ankara, Turkey.

出版信息

Best Pract Res Clin Endocrinol Metab. 2023 Jul;37(4):101759. doi: 10.1016/j.beem.2023.101759. Epub 2023 Mar 3.

Abstract

At the end of 2019, the world began to fight the coronavirus disease 2019 (COVID-19) pandemic caused by the severe acute respiratory syndrome coronavirus-2. Many vaccines have quickly been developed to control the epidemic, and with the widespread use of vaccines globally, several vaccine-related adverse events have been reported. This review mainly focused on COVID-19 vaccination-associated thyroiditis and summarized the current evidence regarding vaccine-induced subacute thyroiditis, silent thyroiditis, Graves' disease, and Graves' orbitopathy. The main clinical characteristics of each specific disease were outlined, and possible pathophysiological mechanisms were discussed. Finally, areas lacking evidence were specified, and a research agenda was proposed.

摘要

2019 年末,全球开始应对由严重急性呼吸综合征冠状病毒 2 引起的 2019 年冠状病毒病(COVID-19)大流行。为了控制疫情,许多疫苗迅速被开发出来,并且随着全球范围内疫苗的广泛使用,已经报告了几种与疫苗相关的不良事件。本综述主要关注 COVID-19 疫苗接种相关甲状腺炎,并总结了目前关于疫苗诱导的亚急性甲状腺炎、静默性甲状腺炎、格雷夫斯病和格雷夫斯眼病的证据。概述了每种特定疾病的主要临床特征,并讨论了可能的病理生理学机制。最后,确定了缺乏证据的领域,并提出了研究议程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bdc/9981269/2931c43da38b/gr1_lrg.jpg

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