COVID-19 and Endocrine System: A Cross-Sectional Study on 60 Patients with Endocrine Abnormality

Negin Hadisi, Hadi Abedi, M. Shokoohi, S. Taşdemir, Shahriyar Mamikhani, Shahla Meshgi, Arian Zolfagharzadeh, L. Roshangar
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Abstract

Objective COVID-19 is an infectious disease that has become pandemic with a high mortality rate. This study aims to provide new insight into the relations between SARS-CoV-2 and the Endocrine system. Materials and Methods In this cross-sectional study, we have hospitalized 60 patients with a positive SARA-CoV-2 PCR test. The information of complete blood count and endocrine hormones was obtained when the patients were admitted to the hospital or for a maximum of 4 days onset the hospitalization. Results Of 60 patients with COVID-19, forty-four (73.33%) had at least one abnormality mean item >×3. In total, 26 (43.33%), 21 (35%), 18 (30%), 13 (21.67%), 31 (51.67%), 12 (20%), 30 (50%), 25 (41.67%) patients having estradiol, follicle stimulating hormone (FSH), luteinizing hormone (LH), prolactin, progesterone, testosterone, cortisol and thyroid stimulating hormone (TSH) abnormal test results, respectively. There was no change in creatinine levels. FSH has shown drastic changes in both sexes’ intensity (F: 769, P<0.0001). Although TSH had many abnormalities in women, analysis has shown no significant P value (P=0.4558). Furthermore, prolactin and testosterone mean level in men and the estradiol mean level in women have shown no significant P value (P=0.2077, P=0.1446, P=0.1351, respectively). Conclusion Results suggest that COVID-19 affects directly or non-directly glands and related hormones.
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COVID-19与内分泌系统:60例内分泌异常患者的横断面研究
目的新型冠状病毒病是一种具有高致死率的传染病。本研究旨在为SARS-CoV-2与内分泌系统的关系提供新的认识。材料和方法在本横断面研究中,我们收治了60例SARA-CoV-2 PCR检测阳性的患者。全血细胞计数和内分泌激素信息在患者入院时或入院后最多4天内获取。结果60例新冠肺炎患者中,44例(73.33%)至少有一项异常,平均项目>×3。共有26例(43.33%)、21例(35%)、18例(30%)、13例(21.67%)、31例(51.67%)、12例(20%)、30例(50%)、25例(41.67%)患者出现雌二醇、促卵泡激素(FSH)、黄体生成素(LH)、催乳素、黄体酮、睾酮、皮质醇和促甲状腺激素(TSH)检测结果异常。肌酐水平没有变化。FSH在两性中表现出剧烈的变化(F: 769, P<0.0001)。虽然TSH在女性中有很多异常,但分析显示没有显著的P值(P=0.4558)。此外,男性催乳素和睾酮平均水平以及女性雌二醇平均水平均无显著P值(P=0.2077, P=0.1446, P=0.1351)。结论COVID-19直接或非直接影响腺体及相关激素。
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