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A Comprehensive Review of COVID-19–Associated Endocrine Manifestations

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Coronavirus disease 2019–related endocrine manifestations have been the subject of ongoing research since the start of the pandemic. This article provides a brief overview of these manifestations and any associated… Click to show full abstract

Coronavirus disease 2019–related endocrine manifestations have been the subject of ongoing research since the start of the pandemic. This article provides a brief overview of these manifestations and any associated short- and long-term outcomes. Abstract Coronavirus disease 2019 (COVID-19) has played a significant part in systematic damage, affecting lives and leading to significant mortality. The endocrine system is one of the systems affected by this pandemic outbreak. The relationship between them has been identified in previous and ongoing research. The mechanism through which severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) can achieve this is similar to that for organs that express angiotensin-converting enzyme 2 receptors, which is the primary binding site of the virus. Endocrine cells widely express angiotensin-converting enzyme 2 receptors and transmembrane serine protease 2, the primary mediators initiating the acute phase of the disease. This review aimed to identify and discuss the endocrine complications of COVID-19. This primary focus is on presenting thyroid disorders or newly diagnosed diabetes mellitus (DM). Thyroid dysfunction with subacute thyroiditis, Graves’ disease, and hypothyroidism caused by primary autoimmune thyroiditis has been reported. Pancreatic damage leads to type 1 DM because of the autoimmune nature of the disease and type 2 DM because of postinflammatory insulin resistance. Because follow-up data on COVID-19 on the endocrine glands are limited, long-term investigations are needed to assess specific effects.

Keywords: disease; review covid; endocrine manifestations; comprehensive review

Journal Title: Southern Medical Journal
Year Published: 2023

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