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The Impact of SARS-Cov-2 Virus Infection on the Endocrine System
Noel Pratheepan Somasundaram1, Ishara Ranathunga1, Vithiya Ratnasamy2
1Diabetes and Endocrine Unit, National Hospital of Sri Lanka, Colombo, Sri Lanka.
The COVID-19 pandemic, caused by SARS-CoV-2, impacts the endocrine system, potentially causing issues like hyperglycemia and affecting patients with existing endocrine disorders. Management strategies are crucial for these patients.
Area of Science:
- Endocrinology
- Infectious Diseases
- Public Health
Background:
- The novel SARS-CoV-2 virus has caused a global pandemic with unclear effects on the endocrine system.
- Previous research on SARS-CoV-1 indicated potential endocrine organ involvement.
Purpose of the Study:
- To review the potential endocrine consequences of SARS-CoV-2 infection.
- To provide insights into managing endocrine disorders in COVID-19 patients.
Main Methods:
- Literature survey of medical databases (PubMed, Google Scholar, MedARXiv) using keywords related to COVID-19, SARS-CoV-2, and endocrine system.
- Screening of bibliographies and citations for additional relevant articles.
- Review focused on literature up to April 28, 2020.
Main Results:
- SARS-CoV-2 may affect the pancreas, leading to hyperglycemia and diabetic emergencies.
- Patients with adrenal insufficiency require hydrocortisone dose adjustments.
- Cushing syndrome patients may face poorer outcomes due to immunodeficiency and coagulopathy.
- Vitamin D deficiency is linked to increased SARS-CoV-2 susceptibility or severity.
Conclusions:
- COVID-19 presents significant endocrine challenges, particularly for individuals with pre-existing endocrine conditions.
- Management requires careful consideration of factors like adrenal insufficiency, Cushing syndrome, and vitamin D status.
- Developing robust strategies for managing endocrinopathies in COVID-19 is essential.
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