Evidence map›Paper›PMID 34139048›Full record

SynthesisInternal medicine journal2022

Risk factors, treatment and outcomes of subacute thyroiditis secondary to COVID-19: a systematic review.

Jacob Christensen, Kevin O'Callaghan, Holly Sinclair, Kate Hawke, Amanda Love, Krispin Hajkowicz, Adam G Stewart

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Internal medicine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
8.4field-weighted citation impact, top 2% 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

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. How to manage subacute thyroiditis.Drugs in context · 2026
    Review
  5. COVID-19 pandemic and thyroid diseases.Frontiers in endocrinology · 2026
    Article
  6. Observational
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Subacute Thyroiditis in the Time of COVID-19.Endocrinology and metabolism (Seoul, Korea) · 2024
    Article
  14. Increased Risk of Thyroid Eye Disease Following Covid-19 Vaccination.The Journal of clinical endocrinology and metabolism · 2024
    Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. SARS-CoV-2, fertility and assisted reproduction.Human reproduction update · 2023
    Review
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 2 institutions in 1 country.

Jacob ChristensenInfectious Diseases Unit, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Kevin O'CallaghanInfectious Diseases Unit, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Holly SinclairInfectious Diseases Unit, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Kate HawkeDepartment of Endocrinology, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Amanda LoveDepartment of Endocrinology, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Krispin HajkowiczInfectious Diseases Unit, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Adam G StewartInfectious Diseases Unit, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.ORCID 0000-0002-7262-7529
Royal Brisbane and Women's Hospital · AUThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 is known to cause an acute respiratory illness, although clinical manifestations outside of the respiratory tract may occur. Early reports have identified SARS-CoV-2 as a cause of subacute thyroiditis (SAT).

methodsA systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. MEDLINE, Web of Science and PubMed databases were queried in February 2021 for studies from December 2019 to February 2021. MeSH search terms 'COVID-19', 'SARS-CoV-2' and 'coronavirus' along with search terms 'thyroiditis', 'thyrotoxicosis' and 'thyroid' were used. Descriptive statistics for continuous variables and proportions for categorical variables were calculated.

resultsFifteen publications reporting on 17 individual cases of COVID-19-induced SAT were identified. Age ranged from 18 to 69 years. The majority (14 of 17; 82%) of cases were female. The delay between onset of respiratory symptoms and diagnosis of SAT ranged from 5 to 49 days (mean, 26.5). Systemic inflammatory response syndrome related to viral infection was uncommonly reported at the time of SAT diagnosis. Thyroid ultrasonography frequently reported an enlarged hypoechoic thyroid with decreased vascularity and heterogenous echotexture. Elevated C-reactive protein (CRP) was common at the time of SAT diagnosis, with results ranging from 4.5 to 176 mg/L (mean, 41 mg/L). Antithyroid antibodies were frequently negative. SAT-specific treatment included corticosteroids for 12 of 17 (70.5%) patients. Most returned to normal thyroid status.

conclusionCOVID-19-associated SAT may be difficult to identify in a timely manner due to potential absence of classic symptoms, as well as cross-over of common clinical features between COVID-19 and thyrotoxicosis.

Indexed as

COVID-19Thyroiditis, SubacuteThyrotoxicosisAdolescentAdultAgedFemaleHumansMaleMiddle AgedRisk FactorsSARS-CoV-2Treatment OutcomeYoung AdultCOVID-19 complicationSARS-CoV-2subacute thyroiditis

Identifiers

PMID34139048
PMCPMC8446980
OpenAlexW3168403330

What OpenQuestion holds

Textmetadata
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.