Evidence map›Paper›PMID 41900303›Full record

ReviewMicroorganisms2026

Long-Term Thyroid Complications Post-COVID-19: A Systematic Review.

Luai Hommos, Harsh Gohil, Mlaak Rob, Jane Manyama, Haneen Ramy, Nesha Naseem, Hana Nishan, Raghad Sabaawi Ibrahim, Shahad Sabaawi Ibrahim, Vivian Chetachi Eziefula Njoku and 4 more

Abstract readReview
In one paragraph

Review in Microorganisms, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Luai HommosDepartment of Medical Education, Weill Cornell Medicine-Qatar, Doha 24144, Qatar.
Harsh GohilDepartment of Medical Education, Weill Cornell Medicine-Qatar, Doha 24144, Qatar.
Mlaak RobDepartment of Medical Education, Weill Cornell Medicine-Qatar, Doha 24144, Qatar.ORCID 0009-0004-8458-2382
Jane ManyamaDepartment of Medical Education, Weill Cornell Medicine-Qatar, Doha 24144, Qatar.ORCID 0009-0003-0724-3304
Haneen RamyDepartment of Medical Education, Weill Cornell Medicine-Qatar, Doha 24144, Qatar.
Nesha NaseemDepartment of Medical Education, Weill Cornell Medicine-Qatar, Doha 24144, Qatar.
Hana NishanDepartment of Medical Education, Weill Cornell Medicine-Qatar, Doha 24144, Qatar.
Raghad Sabaawi IbrahimDepartment of Medical Education, Weill Cornell Medicine-Qatar, Doha 24144, Qatar.ORCID 0009-0006-5339-9854
Shahad Sabaawi IbrahimDepartment of Medical Education, Weill Cornell Medicine-Qatar, Doha 24144, Qatar.ORCID 0009-0003-8510-9477
Vivian Chetachi Eziefula NjokuDepartment of Medical Education, Weill Cornell Medicine-Qatar, Doha 24144, Qatar.ORCID 0009-0000-5452-7842
Ibrahim Al-MutawaDepartment of Medical Education, Weill Cornell Medicine-Qatar, Doha 24144, Qatar.
Aasiya F KhanDepartment of Medical Education, Weill Cornell Medicine-Qatar, Doha 24144, Qatar.
Sean HolroydDepartment of Medical Education, Weill Cornell Medicine-Qatar, Doha 24144, Qatar.
Dalia ZakariaDepartment of Premedical Education, Weill Cornell Medicine-Qatar, Doha 24144, Qatar.ORCID 0000-0001-9020-0038

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) is increasingly shown to be a multisystem disorder with long-term complications, including endocrine system complications. The thyroid gland is also susceptible, as it contains ACE2 receptors, making it exposed to both direct viral damage and autoimmune-mediated dysfunction. Recent reports document the various thyroid complications that persist well after the acute infection phase. This systematic review investigates the long-term thyroid complications in individuals with a history of SARS-CoV-2 infection. A comprehensive literature search across several databases was conducted. Eligible studies reported new onset long-term thyroid complications occurring post-COVID-19 infection. Abstract and full-text screening as well as data extraction and quality assessment was performed by two independent reviewers. Only 28 studies met our inclusion criteria, reporting 419 patients from 18 countries. These studies included case reports, case series, cohort, and cross-sectional studies. Reported thyroid disorders included subacute thyroiditis, thyrotoxicosis, hyperthyroidism (including Graves' disease), isolated high T3/T4, hypothyroidism, central hypothyroidism, and non-thyroidal illness syndrome (NTIS). While many of these eventually resolved, a significant portion persisted or recurred, especially autoimmune thyroiditis. COVID-19 is associated with a range of long-term thyroid complications. Although some cases are temporary, others last, especially autoimmune thyroid disorders. Proposed mechanisms include direct viral cytotoxicity, cytokine-mediated Hypothalamic-Pituitary-Thyroid (HPT) axis suppression, post-viral autoimmunity, vascular injury, and neuroendocrine disruption. Routine thyroid function monitoring in COVID-19 survivors, particularly those with severe disease or persistent symptoms is recommended, and larger prospective studies are needed to better understand incidence and outcomes.

Indexed as

COVID-19hyperthyroidismhypothyroidismlong COVIDNTISpost-COVID-19 sequelaeSARS-CoV-2subacute thyroiditisthyroidthyrotoxicosis

Identifiers

PMID41900303
PMCPMC13029401

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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.