Table 1.
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.