Thyroid disease

Subacute thyroiditis in the SARS-CoV-2 era: a multicentre prospective study

Eur Thyroid JPublished Prospective cohort study

Authors' conclusion

This is the first prospective study investigating any difference both at diagnosis and at follow-up between SAT presentation in patients with previous SARS-CoV-2 infection and those without. Our data demonstrate that SARS-CoV-2 does not impact on SAT onset, evolution, and outcome.

Study context

Population
Patients diagnosed with subacute thyroiditis (SAT), November 2020 to May 202241 completed follow-up
Participants
66 patients
Exposure
SAT with prior SARS-CoV-2 infection vs without
  • COVID+n = 7
Outcome
Prior SARS-CoV-2 infection (IgG) before SAT diagnosis
Follow-up
Baseline
Methodological detailsmulticentre, longitudinal, 3-year
  • Multicentre
  • Longitudinal
  • 3-year

Main finding

As reported in the abstract

Infection before SAT diagnosis (COVID+)
7 out of 52 subjects (13.5%)
Respiratory symptoms more common in COVID+
P = 0.039
Fever more common in COVID+
P = 0.021

Observational data: associations, not effects.

Further findings

Pain at baseline

Presented with pain
54
Pain for at least 15 days
36 (67%)

Therapeutic approach and outcome during follow-up · 1, 3, 6 and 12 months

COVID+ and COVID- did not differ for therapeutic approach to SAT or outcome; all improved in neck pain, inflammation parameters and US features
  • 41 subjects completed follow-up

Original publication

Subacute thyroiditis in the SARS-CoV-2 era: a multicentre prospective study. Eur Thyroid J. Published 24 June 2024. doi:10.1530/etj-24-0083

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