Thyroid disease

Increased incidence of Graves' disease during the SARS‐CoV2 pandemic

Clin Endocrinol (Oxf)Published Cross-sectional study

Authors' conclusion

Our results show a notable increase in the incidence of GD during the year 2021, specially in women with a history of smoking. Hyper activation of the immune system induced by SARS-CoV2 and by the recently released SARS-COV-2 vaccines has been highlighted in recent months. To assess whether this observed increase in the incidence of GD is sustained in the coming years or has simply been a precipitous trigger for individuals who were already predisposed to develop the disease, future studies will be needed.

Study context

Population
Adults (over 18 years) with new cases of Graves' disease (GD), no relapsed disease, Castilla y Leóndiagnosed and treated for GD
Participants
180 adults
Exposure
GD incidence before vs after Covid-19 pandemic
Outcome
Incidence of GD
Methodological detailsobservational
  • Observational

Main finding

As reported in the abstract

GD incidence
  • Notable increase in expected GD cases in 2021 vs 2017-19
  • Number of GD cases higher in the second quarter (Q2)

Observational data: associations, not effects.

Further findings

2021 GD cases vaccinated in the 90 days before symptom onset

Vaccinated within 90 days before onset
42/66 (63.6%)
Vaccinated cases in the first quarter
0
Women
97.7%
Age, mean (SD)
48.9 (15.6) years
Days from vaccine to diagnosis, mean (SD)
19.9 (17.6)
Another previously diagnosed autoimmune disease
7/42 (16.67%)
Smokers
11/42 (26.19%)

Original publication

Increased incidence of Graves' disease during the SARS‐CoV2 pandemic. Clin Endocrinol (Oxf). Published 30 December 2022. doi:10.1111/cen.14860

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