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Cited by 355

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Thyrotoxicosis in patients with COVID-19: the THYRCOV study

Open access
Lania, Andrea, Sandri, Maria Teresa, Cellini, Miriam, Mirani, Marco, Lavezzi, Elisabetta, Mazziotti, Gherardo·2020·European Journal of Endocrinology

Abstract

Objective: This study assessed thyroid function in patients affected by the coronavirus disease-19 (COVID-19), based on the hypothesis that the cytokine storm associated with COVID-19 may influence thyroid function and/or the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may directly act on thyroid cells, such as previously demonstrated for SARS-CoV-1 infection. Design and methods: This single-center study was retrospective and consisted in evaluating thyroid function tests and serum interleukin-6 (IL-6) values in 287 consecutive patients (193 males, median age: 66 years, range: 27–92) hospitalized for COVID-19 in non-intensive care units. Results: Fifty-eight patients (20.2%) were found with thyrotoxicosis (overt in 31 cases), 15 (5.2%) with hypothyroidism (overt in only 2 cases), and 214 (74.6%) with normal thyroid function. Serum thyrotropin (TSH) values were inversely correlated with age of patients (rho −0.27; P < 0.001) and IL-6 (rho −0.41; P < 0.001). In the multivariate analysis, thyrotoxicosis resulted to be significantly associated with higher IL-6 (odds ratio: 3.25, 95% confidence interval: 1.97–5.36; P < 0.001), whereas the association with age of patients was lost (P = 0.09). Conclusions: This study provides first evidence that COVID-19 may be associated with high risk of thyrotoxicosis in relationship with systemic immune activation induced by the SARS-CoV-2 infection.

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Metadata

Authors
Lania, A., Sandri, M. T., Cellini, M., Mirani, M., Lavezzi, E., & Mazziotti, G.
Venue
European Journal of Endocrinology
Published
2020-10
Volume
183
Issue
4
Pages
381-387
ISSN
  • 0804-4643 (ISSN-L)
  • 1479-683X
OpenAlex
W3041983551
Cited by
355
References
30
FWCI
45.22
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Thyrotoxicosis in patients with COVID-19: the THYRCOV study. https://app.cochat.ai/papers/10.1530/eje-20-0335
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Lania, A., Sandri, M. T., Cellini, M., Mirani, M., Lavezzi, E., & Mazziotti, G. (2020). Thyrotoxicosis in patients with COVID-19: the THYRCOV study. European Journal of Endocrinology. https://doi.org/10.1530/eje-20-0335

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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