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Incidence of Subacute Thyroiditis During the COVID-19 Pandemic in South Korea Using the National Health Insurance Service Database.
Ahn, Hwa Young; Choi, Hoon Sung; Ha, Seongjun; Cho, Sun Wook.
  • Ahn HY; Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
  • Choi HS; Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
  • Ha S; Chung-Ang University Gwang-Myeong Hospital, Gwangmyeong-si, Korea.
  • Cho SW; Big Data Strategy Department, National Health Insurance Service, Wonju, Korea.
Thyroid ; 32(11): 1299-1306, 2022 Nov.
Article in English | MEDLINE | ID: covidwho-2017672
ABSTRACT

Background:

Subacute thyroiditis (SAT) is a thyroid disease initiated by viral infection. Whether severe acute respiratory syndrome coronavirus 2 infection can cause SAT is unclear. This study investigated changes in the nationwide incidence of SAT during the coronavirus disease 2019 (COVID-19) pandemic.

Methods:

This is a retrospective, cross-sectional population-based study. Data regarding SAT and related viral diseases, including COVID-19, from 2017 to 2020 were collected from the National Health Insurance Service and Korea Disease Control and Prevention Agency databases.

Results:

In a total of 15,447 patients, 2484 men and 12,963 women diagnosed with SAT from 2017 to 2020 were included in this study. The incidence of SAT was significantly higher in 2020 than in 2017-2019 (8.30 vs. 7.27 per 100,000 persons, p < 0.001), while the incidence of SAT-related respiratory viral diseases, except for COVID-19, markedly decreased in 2020. The peak age of SAT incidence in 2020 was 50-59 years, and the women-to-men ratio was 5.4 (similar to that in 2017-2019). Corticosteroids were prescribed more often (72% vs. 58%, p < 0.001), and the prescription rate exceeding 1 month was significantly higher (45% vs. 40%, p < 0.01) in 2020 than in 2017-2019.

Conclusions:

The incidence of SAT increased in 2020 in association with COVID-19. A diagnostic approach to COVID-19 needs to be considered in patients with SAT during the COVID-19 pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Thyroiditis, Subacute / COVID-19 Type of study: Diagnostic study / Observational study / Randomized controlled trials Topics: Long Covid Limits: Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: Thyroid Journal subject: Endocrinology Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Thyroiditis, Subacute / COVID-19 Type of study: Diagnostic study / Observational study / Randomized controlled trials Topics: Long Covid Limits: Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: Thyroid Journal subject: Endocrinology Year: 2022 Document Type: Article