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. 2021 Nov 24;14:6191–6221. doi: 10.2147/JIR.S332705

Table 1.

Various Incidence of Subacute Thyroiditis in Post-COVID-19 Patients

Case. No Age Sex Symptoms Previous History of Thyroid Disease Thyroid Function Tests, Inflammatory Markers and Blood Profile # Diagnosis After the Onset of COVID-19 Treatment Reference
TSH FT4 FT3 Anti-TSH-R Ab. Tg Anti-Thyroid Peroxidase and Anti-Thyroglobulin Abs. WBC per L ESR C-Reactive Protein Hb Fever
1. 18 F Fever
Fatigue
Palpitation
Anterior neck pain radiating to the jaw
Isolated hyperthyrotropinemia
No <0.04 mIU/mL 27.2 pmol/L 8.7 pmol/L <1.5 IU/mL 5.6 µg/L <10 IU/mL and 120.2 IU/mL 11200 90 mm/h 6.9 mg/L N.A. 99.5 ºF 3 days after Prednisolone 25 mg/d for 5 weeks Brancatella et al. 2020a.89
2. 69 F Fever
Palpitations
Insomnia
Agitation
Yes, non-toxic nodular goiter, euthyroidism 0.08 mU/L 24.6 pg/mL 5.5 pg/mL Not detected N.A. Not detected N.A. N.A. N.A. N.A. N.A. 4 days after Prednisolone 40 mg/day i.v. for 3 days and 25 /day for 4 weeks+ Ippolito et al, 2020.86
3. 41 F Fever
Neck pain
Erythematous pharyngitis
Painful palpation of left temporomandibular joint and neck
No <0.008 mIU/mL 25.7 pmol/L 7.7 pmol/L Not Detected N.A. Not detected 15,600 134 mm/h 101 mg/L 12g/dL 101.3 ºF and 101.12 ºF With COVID-19 Hydroxychloroquine tablet 200 mg bid for 5 days.
Prednisolone 16 mg once/day for 4 weeks
Asfuroglu Kalkan et al. 2020.90
4. 38 F Fever
Neck pain radiated to jaw
Asthenia
Anorexia
Palpitation
No 0.1 mIU/mL 29.3 nmol/L 8.0 pmol/L 30 IU/mL 75.3 ug/L < 10 IU/mL and < 1.5 IU/mL N.A. 74 mm/h 11.2 mg/L N.A. 101.3 ºF 16 days after Prednisolone 25 mg/d for 4 weeks+ Brancatella et al. 2020b.91
5. 29 F Fever
Neck pain
Palpitations
Asthenia
Sweating
No <0.01 mIU/mL 31.8 nmol/L 8.9 pmol/L 38 IU/mL 80 ug/L < 10 IU/mL and < 1.5 IU/mL N.A. 110 mm/h 7.9 mg/L N.A. 98.96 ºF 30 days after Prednisone 25 mg/d and propranolol (40 mg/d) Brancatella et al. 2020b.91
6. 29 F Neck pain
Palpitations
Sweating
No N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. 100.4 ºF 36 days after A low dose of levothyroxine Brancatella et al. 2020b.91
7. 46 F Fever
Neck pain
Palpitations
Asthenia
Insomnia
Anxiety
Weight loss
No 0.01 mIU/mL 27.8 nmol/L 6.9 pmol/L <1.5 IU/mL N.A. N.A. N.A. N.A. 8 mg/L N.A. 98.96 ºF 20 days after Prednisone 25 mg/d for 4 weeks+ Brancatella et al. 2020b.91
8. 43 F Fever
Pain and tenderness in anterior cervical regions
Fatigue
Tremors
Anxiety
Palpitations
No 0.006 mU/L 2.69 ng/dL 7.03 pg/mL Not detected 188 pg/mL Not detected 6.6 x 109/L 60 mm/h 8.8 mg/L N.A. 99.5 ºF 45 days after Prednisolone 25 mg/d for 4 weeks Ruggeri et al, 2020.92
9. 34 M Fever
Anterior neck pain Tachycardia
No <0.01 mU/L 41.8 pmol/L 13.4 pmol/L <1.10 (negative) N.A. Not detected 11,560 N.A. 122 mg/L 13.7 g/dL 99.86 ºF 8 days after Prednisolone 20 mg/day
atenolol 25 mg
Mattar et al. 2020.93
10. 40 M Fever
Painful neck
palpation
High fever
No <0.005 mIU/mL 3.61 ng/dL 4.24 pg/mL Not detected N.A. Not detected 11,060 80 mm/h 7.69 mg/dL 12.5 g/dL 100.94 ºF 20 days after Prednisolone 32 mg/d for 4 weeks+ Guven, 2020.94
11. 37 F Severe neck pain
Fatigue
Undetectable 1.6 ng/dL N.A. N.A. N.A. Not detected Normal 72 mm/hr 66 mg/L 10.4 g/dL N.A. 30 days after N.A. Campos-Barrera et al. 2020.95
12. 47 F Anterior neck pain
Swelling
Palpation
No 0.05µIU/mL 1.68 pg/mL N.A. Not detected N.A. Not detected Normal N.A. 5.09 mg/dL N.A. No fever With COVID-19 Ceftriaxone and hydroxychloroquine for COVID-19.
Mefenamic acid and later switched to
celecoxib.
San Juan et al. 2020.96
13 28 F Neck pain radiated to the jaw
Palpitations
Sore throat
Severe asthenia
No < 0.001 mU/L 67.5 pmol/L N.A. Not detected N.A. Not detected 11.2 × 109/L 116 mm/hr 173 mg/L N.A. 101.3 °F 25 days after 500 mg of aspirin and 40 mg of propranolol, both every 6 h.
Recovered in 2 weeks.
Ruano et al. 2020.97
14 37 M Anterior neck pain
Fatigue
Chills
Palpitation
Heat intolerance Anorexia
Weight loss.
No 0.001 mU/L 2.3 ng/dL N.A. N.A. N.A. 1 IU/L 6.7 x 109/L 31 mm/hr 14 mg/L 13.8 No fever but chills 30 days after Aspirin and propranolol for 1 week. Chong et al. 2020.98
15 58 M Fever
Neck pain
Tachycardia
Excessive sweating
Tremor
No <0.005 N.A. N.A. N.A. N.A. N.A. 8.85×109 /L 110 mm/hr 16.6 mg/L 126 g/L 101.3°F With COVID-19 Analgesics, favipiravir, azithromycin, zinc tablets and vitamin C. Prednisolone 30 mg/day for 1 month+
propranolol 40 mg/day.
Chakraborty et al. 2020.99
16 29 F Fever
Tachycardia
Weight loss
Neck pain
Shortness of breath
No 0.01 mU/L 4.4 ng/L N.A. N.A. N.A. Not detected Normal 84 mm/hr 44 mg/L N.A. 101°F 49 days after Prednisone (20 mg) and atenolol (25 mg) daily for 3 days. Increased
prednisone (40 mg) daily for 6 weeks+.
Atenolol (50 mg) daily for 6 weeks and discontinued
Mehmood et al. 2020.100
17 41 F Weight loss
Fatigue
Alopecia
Heat intolerance
Irritability
Headaches
Bilateral hand tremor
Palpitations
Anterior neck pain
No < 0.01 mIU/L 60.63 pmol/L 3.39 nmol/L < 1.10 IU/L N.A. > 96.71IU/mL 5.79 × 109/L 107 mm/h 36.4 mg/L 91 g/L 103°F 28 days Prednisone 40 mg daily for 4 weeks+ and
ibuprofen 600 mg every 6 h for initial 2 days.
Khatri et al. 2021.101
18 33 M Fever
Tachycardia
Neck pain
No < 0.001 mUI/L N.A. N.A. Not detected N.A. Not detected Normal 84 mm/h 37.9 mg/L 14.1 g/dL 101.3°F >21 days Prednisone 25 mg daily for 4 weeks+ dexamethasone 4 mg every 8 h for 5 days. Davoodi et al. 2021.102
19 26 F Fever
Fatigue
Palpitations
Anterior neck pain
N.A. 0.07 mU/L 19.5 pmol/L 18.9 pmol/L N.A. N.A. N.A. 12,500 70 mm/h 28 mg/L N.A. >100.4° F 30 days after Prednisolone 25 mg/day for 10 days and tapered in 4 weeks. Sohrabpour et al. 2021.103
20 37 F Fever
Fatigue
Palpitations
Anterior neck pain
N.A. <0.01 mU/L 2.3 pmol/L 25.4 pmol/L N.A. N.A. N.A. 11,700 56 mm/h 38 mg/L N.A. >100.4° F 30 days after Prednisolone 25 mg/day for 10 days and tapered in 4 weeks. Sohrabpour et al. 2021.103
21 35 M Fever
Fatigue
Palpitations
Anterior neck pain
N.A. 0.12 mU/L 24.7 pmol/L 19.3 pmol/L N.A. N.A. N.A. 9,200 45 mm/h 18 mg/L N.A. >100.4° F 30 days after Prednisolone 25 mg/day for 10 days and tapered in 4 weeks. Sohrabpour et al. 2021.103
22 41 F Fever
Fatigue
Palpitations
Anterior neck pain
N.A. <0.01 mU/L 21.9 pmol/L 23.7 pmol/L N.A. N.A. N.A. 14,800 83 mm/h 43 mg/L N.A. >100.4° F 30 days after Prednisolone 25 mg/day for 10 days and tapered in 4 weeks. Sohrabpour et al. 2021.103
23 52 M Fever
Fatigue
Palpitations
Anterior neck pain
N.A. 0.17 mU/L 26.7 pmol/L 21.6 pmol/L N.A. N.A. N.A. 17,600 76 mm/h 51 mg/L N.A. >100.4° F 30 days after Prednisolone 25 mg/day for 10 days and tapered in 4 weeks. Sohrabpour et al. 2021.103
24 34 F Fever
Fatigue
Palpitations
Anterior neck pain
N.A. 0.23 mU/L 18.4 pmol/L 18.1 pmol/L N.A. N.A. N.A. 13,400 39 mm/h 23 mg/L N.A. >100.4° F 30 days after Prednisolone 25 mg/day for 10 days and tapered in 4 weeks. Sohrabpour et al. 2021.103
25 50 M Fever
Tachycardia
Arthritis
No Hyperthyroidism. Numerical values N.A. N.A. N.A. N.A. N.A. N.A. 13,000 52 mm/h 36 mg/L N.A. 100.2° F 28 days after Prescription: after 4 weeks,
carbimazole 30 mg/day and stopped after 6 weeks. 6th week levothyroxine.
Ghosh et al. 2021104
26 67 M Arrhythmia
Fatigue
Weight loss
No 0.029 uIU/mL 2.1 ng/dL N.A N.A N.A N.A N.A 37 mg/dL 5.3 mg/dL N.A No fever but diarrhea With COVID-19 Methimazole 20 mg daily for 4 weeks and tapered.
Prednisone initiated
Mathews et al. 2021105
27 34 F Anterior cervical pain. (Thyroid lobe FNA was performed). N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. 100° F 28 days after Prednisone at 15 mg/d for 4 days Abreu et al. 2021106
28 34 F No symptoms (Irregular and hypoechogenic area in right thyroid confirmed SAT by FNA) No N.A 1.8 ng/dL N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. 10 days after Prednisone at 15 mg/d for 18 days Abreu et al. 2021106
29 39 F Anterior cervical pain (Confirmed by FNA) N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. Mild 26 days after N.A. Abreu et al. 2021106
30 32 F Neck pain
Pain when swallowing
Palpitation
Warm sensation
No N.A. 26.8 pmol/L N.A. N.A N.A Not detected N.A 65 mm/h N.A N.A N.A N.A Aspirin for 15 days Seyed Resuli et al. 2021107
31 25 F Neck pain
Right ear pain when swallowing
Palpitation
Sweating
No N.A 28.1 pmol/L 9.6 pmol/L N.A N.A Not detected N.A 58 mm/h N.A N.A N.A N.A Aspirin for 25 days Seyed Resuli et al. 2021107
32 45 F Neck pain
Pain in left ear when swallowing
Weakness
Irritability
Fever
No N.A 43.1 pmol/L 14.2 pmol/L N.A N.A Not detected N.A 70 mm/h N.A N.A N.A N.A Prednisolone 1 mg/kg for 29 days Seyed Resuli et al. 2021107
33 29 F Neck pain
Pain in ears when swallowing
Irritability
Palpitation
No N.A 38,1 pmol/L 11.3 pmol/L N.A N.A Not detected N.A 65 mm/h N.A N.A N.A N.A Aspirin for 22 days Seyed Resuli et al. 2021107
34 21 F Neck pain
Weight loss
Fever
Sweating
Irritability
Warm sensation
No N.A 43.5 pmol/L 16.2 pmol/L N.A N.A Not detected N.A 80 mm/h N.A N.A N.A N.A Prednisolone 1 mg/kg for 34 days Seyed Resuli et al. 2021107
35 36 F Anterior neck pain
Fever
Palpitations
Fatigue
No 0.008 µU/mL 27.93 pmol/L N.A. pmol/L <0.10 IU/L N.A. 15.5 IU/mL and
3.4 IU/mL
7970/ µL 31 mm/h 1.05 mg/dL N.A. Low-grade fever 45 days after Ibuprofen 600 mg,
propranolol 10  mg and
omeprazole 20  mg
Ge la Higuera López-Frías et al. 2021108
36 40 M Fever
Tachycardia
No 0.01 mIU/L 27.8 pmol/L 7.5 pmol/L <0.9 N.A. <3 11.9 × 109 /L 92 mm/h 86 N.A. 99.86°F 42 days after Prednisolone 20 mg × 1 Tjønnfjord et al. 2021109
37 41 F Fever
Palpitations
Insomnia
N.A. 0.01 mIU/L 1.9 ng/dL N.A. N.A. N.A. 69 IU/mL N.A. N.A. N.A. N.A. Mild 42 days after Levothyroxine 112 mcg daily. Feghali et al. 2021110
38 31 F Anterior neck pain No 0.0 μIU/mL 3.2 ng/dL 7.3 pg/mL <0.1% N.A. <9.0 U/mL and 51.4 IU/mL 100 ×102 /μL 93 mm/h 3.6 mg/dL 12.7 g/dL 100.4°F 15 days after Initially, NSAIDs and switched to prednisolone (15 mg/day) and tapered. Sato et al. 2021111
Normal range 0.3–5 mIU/L 9–19 pmol/L 2.63–5.7 pm/L <1.75 IU/L 20–25ng/mL <100 IU/mL and <138 IU/mL 3800–11,000/L 0–13 mm/h <2 mg/L 13.8–17.2 g/dL (M) 12.1–15.1 g/dL (F) 98.6 °F

Notes: N.A., not done/not available in the publication; +, progressively tapered; not detected, negative; #, values are given as such from the publications except, “Temperature” which was converted from Celsius to Fahrenheit.

Abbreviations: F, female; M, male; FT3, free triiodothyronine; FT4, free thyroxine; TSH, thyroid-stimulating hormone; Anti-TSHR Ab, anti-thyroid stimulating hormone receptor antibody; Ab, antibody.