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新冠病毒感染并发亚急性甲状腺炎

Subacute Thyroiditis Complicating COVID-19 Infection.

作者信息

Henke Katrin, Odermatt Jonas, Ziaka Mairi, Rudovich Natalia

机构信息

Department of Medicine, Thun Hospital, Thun, Switzerland.

University of Zurich, Zurich, Switzerland.

出版信息

Clin Med Insights Case Rep. 2023 Jun 19;16:11795476231181560. doi: 10.1177/11795476231181560. eCollection 2023.

Abstract

Subacute thyroiditis (SAT) is a self-limited inflammatory disease and a rare cause of thyrotoxicosis. Although the exact etiology of SAT is not sufficiently understood, it is generally associated to viral infections. Current evidence highlights that SAT may be a potentially uncommon manifestation of ongoing Coronavirus disease 2019 (COVID-19) infection or a post-viral complication of the disease. Despite that SAT is a rare manifestation associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) disease both in ongoing and resolved COVID-19 infection, the ever-increasing numbers of COVID-19 patients strengthens the possibility that this particular disease entity will be of more immediate concern in the future. The current work aims to summarize the approach of SARS-CoV-2-associated SAT, present its pathophysiology, outline current research evidence found in the literature, and discuss potential differential diagnoses and diagnostic dilemmas through an illustrative case.

摘要

亚急性甲状腺炎(SAT)是一种自限性炎症性疾病,是甲状腺毒症的罕见病因。尽管SAT的确切病因尚未完全明确,但一般认为与病毒感染有关。目前的证据表明,SAT可能是正在进行的2019冠状病毒病(COVID-19)感染的一种潜在罕见表现,或者是该疾病的病毒感染后并发症。尽管SAT是与严重急性呼吸综合征冠状病毒2(SARS-CoV-2)疾病相关的罕见表现,无论是在正在进行的还是已康复的COVID-19感染中,但COVID-19患者数量的不断增加增加了这种特殊疾病实体在未来将受到更多直接关注的可能性。当前的工作旨在总结SARS-CoV-2相关SAT的处理方法,介绍其病理生理学,概述文献中发现的当前研究证据,并通过一个实例病例讨论潜在的鉴别诊断和诊断难题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cfb/10286536/e4a590be9edc/10.1177_11795476231181560-fig1.jpg

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