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Covid patients are prone to thyroid disorders: Experts


AMARAVATI: Thyroid dysfunction is found to be the latest complication among the covid-19 patients. Experts caution the covid-19 patients not to ignore symptoms that might have been triggered due to the improper functioning of thyroid glands. Although, the studies reveal that the existing hypothyroid or hyper thyroid patients were not prone to covid-19, the virus is surely taking toll on those already infected. “Covid-19 is causing acute hypothyroidism via the non-thyroidal illness syndrome. It also causes subacute hyperthyroidism or overt thyrotoxicosis via direct inflammation of the thyroid. Long-term most acute thyroid dysfunction resolves once the patient has cleared the COVID-19 infection,” observed senior endocrinologist Dr Bobba Rajesh of Ramesh Hospitals.

He said that SARS-CoV-2 could induce thyroid dysfunction that is usually reversible, including subclinical and atypical thyroiditis. He said that glucocorticoids and heparin used in treatment of severe Covid is believed to be affecting thyroid hormone secretion and measurement, respectively, leading to possible misdiagnosis of thyroid dysfunction in severe cases of covid-19. “Hence, hormone measurements are better avoided during covid infection,” Dr Rakesh suggested.

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Another senior endocrinologist Dr Bellam Bharani at Aster Ramesh Hospitals, Guntur said that the thyroid gland is one of the largest endocrine glands which is a butterfly-shaped gland located in the neck. The thyroid gland produces hormones that influence every cell, tissue, and organ in the body and hence thyroid health is extremely important. “Thyroid hormones play vital roles in growth, neuronal development, reproduction, and regulation of energy metabolism. Hence, thyroid hormone disorders will significantly impact a person’s well-being and quality of life. Iodine nutrition is a crucial determinant of thyroid disease risk, other factors, including aging, genetic susceptibility, ethnicity, smoking, endocrine disruptors, and drugs, also affect thyroid disease epidemiology,” said Dr Bharani.


THYROID DISORDERS


*Thyroid disorders affect people of all ages and have a large range of symptoms.

*Undiagnosed thyroid disease may put patients at risk for health conditions like cardiovascular diseases, osteoporosis, and infertility.

*The most common thyroid disorders include hypothyroidism (abnormally decreased thyroid activity), hyperthyroidism (abnormally increased thyroid activity), thyroiditis (inflammation of the thyroid gland) and thyroid cancer.

*Hypothyroidism, a condition that occurs when the thyroid gland does not produce enough thyroid hormone, is the most common thyroid disease. Symptoms include fatigue, depression, forgetfulness, irregular menses, and weight gain.

*Treatment of hypothyroidism is usually with a synthetic form of thyroid hormone called “levothyroxine.”

*Hyperthyroidism,” is a complication where—the thyroid gland produces too much thyroid hormone. Symptoms include irritability, nervousness, muscle weakness, unexplained weight loss, sleep disturbances, vision problems and eye irritation. It can be treated with antithyroid drugs. Radio iodine drops and surgery.

*Since young people are falling prey to covid-19, they should be very careful about thyroid abnormalities even after recovering from the virus: Dr Bobba Rakesh, endocrinologist.





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