Evidence map›Paper›PMID 33559848›Full record

ReviewJournal of endocrinological investigation2021

The cytokine storm and thyroid hormone changes in COVID-19.

L Croce, D Gangemi, G Ancona, F Liboà, G Bendotti, L Minelli, L Chiovato

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of endocrinological investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Growth hormone - releasing hormone in the immune system.Reviews in endocrine & metabolic disorders · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Thyroid dysfunction in COVID-19.Nature reviews. Endocrinology · 2024
    Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Abnormal TSH Level as a Predictor of Severe Outcomes Among Patients Hospitalized With COVID-19.Journal of community hospital internal medicine perspectives · 2024
    Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

L CroceUnit of Internal Medicine and Endocrinology, Laboratory for Endocrine Disruptors, Istituti Clinici Scientifici Maugeri IRCCS, 27100, Pavia, Italy.
D GangemiPostgraduate School in Endocrinology and Metabolism, University of Pavia, 27100, Pavia, Italy.
G AnconaPostgraduate School in Endocrinology and Metabolism, University of Pavia, 27100, Pavia, Italy.
F LiboàPostgraduate School in Endocrinology and Metabolism, University of Pavia, 27100, Pavia, Italy.
G BendottiPostgraduate School in Endocrinology and Metabolism, University of Pavia, 27100, Pavia, Italy.
L MinelliPostgraduate School in Endocrinology and Metabolism, University of Pavia, 27100, Pavia, Italy.
L ChiovatoUnit of Internal Medicine and Endocrinology, Laboratory for Endocrine Disruptors, Istituti Clinici Scientifici Maugeri IRCCS, 27100, Pavia, Italy. luca.chiovato@icsmaugeri.it.ORCID http://orcid.org/0000-0002-9279-9424
University of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 is now a worldwide pandemic. Among the many extra-pulmonary manifestations of COVID-19, recent evidence suggested a possible occurrence of thyroid dysfunction. PURPOSE: The Aim of the present review is to summarize available studies regarding thyroid function alterations in patients with COVID-19 and to overview the possible physio-pathological explanations.

conclusionsThe repercussions of the thyroid of COVID-19 seem to be related, in part, with the occurrence of a "cytokine storm" that would, in turn, induce a "non-thyroidal illness". Some specific cytokines and chemokines appear to have a direct role on the hypothalamus-pituitary-thyroid axis. On the other hand, some authors have observed an increased incidence of a destructive thyroiditis, either subacute or painless, in patients with COVID-19. The hypothesis of a direct infection of the thyroid by SARS-Cov-2 stems from the observation that its receptor, ACE2, is strongly expressed in thyroid tissue. Lastly, it is highly probable that some pharmaceutical agents largely used for the treatment of COVID-19 can act as confounding factors in the laboratory evaluation of thyroid function parameters.

Indexed as

Antiviral AgentsCOVID-19COVID-19 Drug TreatmentCytokine Release SyndromeCytokinesHumansThyroid HormonesThyroiditisAntiviral AgentsCytokinesThyroid HormonesACE2COVID-19Cytokine stormThyroidThyroiditis

Identifiers

PMID33559848
PMCPMC7871522
OpenAlexW3127360219

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.