后COVID-19亚急性无痛甲状腺炎:一个病例报告在一个类固醇类固醇使用者
Monika Skrzypiec-Spring1, Justyna Kuliczkowska-Płaksej2, Adam Szeląg3
1Department of Pharmacology, Faculty of Medicine, Wroclaw Medical University, Wrocław, Poland. monika.skrzypiec-spring@umw.edu.pl.
BMC infectious diseases
|December 9, 2025
概括
亚急性甲状腺炎可能发生在2019年冠状病毒病 (COVID-19) 后,有时会暗暗地表现出疲劳. 考虑在COVID-19后患有无法解释的甲状腺功能障碍的患者中进行这种诊断,即使有类似合成类固醇使用等混因素.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 甲状腺学 甲状腺学
背景情况:
- 冠状病毒疾病2019 (COVID-19) 仍然是一个重大的健康问题,可能会出现甲状腺外表现.
- 亚急性甲状腺炎是一种炎症性甲状腺疾病,通常是后病毒性,但其在COVID-19后的呈现需要进一步阐明.
- 亚急性甲状腺炎的无痛或亚临床表现可能导致延迟诊断,主要表现为运动能力下降.
研究的目的:
- 在成年患者中描述COVID-19后亚急性甲状腺炎的临床进展.
- 在成年人中对与COVID-19相关的亚急性甲状腺炎进行文献审查.
- 巩固有关COVID-19后这种特定甲状腺并发症的当前知识.
主要方法:
- 一个案例报告,一名31岁的男性业余举重运动员在SARS-CoV-2感染后患上甲状腺功能障碍.
- 临床评估包括甲状腺超声波和甲状腺刺激激素 (TSH) 水平监测.
- 关于COVID-19相关的亚急性甲状腺炎的文献综述和讨论类似于类固醇类固醇使用的混因素.
主要成果:
- 患者在感染后几周内表现出自我限制的甲状腺功能过高,甲状腺功能正常化.
- 甲状腺超声波显示没有异常,并排除了自身免疫性甲状腺疾病.
- 类固醇类固醇使用使甲状腺功能测试和临床表现的解释复杂化.
结论:
- 在COVID-19后无法解释的甲状腺毒性病的差异诊断中,应考虑亚急性甲状腺炎.
- 混杂因素的存在,例如使用类固醇,需要仔细的临床评估和实验室结果的解释.
- 这一案例强调了认识到COVID-19后甲状腺功能障碍的不同临床表现的重要性.
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