Endocrine disorders associated with COVID 19. Adrenal insufficiency
https://doi.org/10.33667/2078-5631-2022-25-41-44
Abstract
COVID‑19 has a negative impact not only on the respiratory system, but also on other organs and systems, including the endocrine. Cases of lesions of the hypothalamus, pituitary gland, thyroid gland, adrenal glands, gonads and pancreas are described. Hypocorticism in COVID‑19 patients can be caused by various reasons: damage to the adrenal endothelium, bilateral hemorrhages and heart attacks. Adrenal insufficiency in patients with COVID‑19 can have a negative impact on the prognosis of coronavirus infection. A clinical case of primary adrenal insufficiency is presented. The patient was hospitalized three times within 2 months with complaints of dyspeptic phenomena, weight loss. A sharp increase in complaints was noted after the transferred COVID‑19. The diagnosis of adrenal insufficiency was assumed after the appearance of a specific brown color of the skin. Hypocorticism has been confirmed in the laboratory. Cases of primary adrenal insufficiency after COVID‑19 can cause difficulties in diagnosis, because clinical manifestations are similar to the phenomena of post-ovoid syndrome in the form of asthenic syndrome: weakness, decreased appetite, weight loss.
About the Authors
N. V. Orlova
Pirogov Russian National Research Medical University;
Research Institute for Systems Biology and Medicine
Russian Federation
Russian Federation
Orlova Natalya V., DM Sci (habil.), professor at Faculty Therapy Dept of Faculty of Pediatrics
Moscow
A. A. Pecherskikh
Pirogov Russian National Research Medical University;
City Clinical Hospital No. 13
Russian Federation
Russian Federation
Pecherskikh Andrey А., assistant at Faculty Therapy Dept of Faculty of Pediatrics, Pirogov Russian National Research Medical University, head of Therapeutic Dept, City Clinical Hospital No. 13
Moscow
E. N. Cherenkova
City Clinical Hospital No. 13
Russian Federation
Russian Federation
Cherenkova Ekaterina N., therapist Therapeutic Dept
Moscow
M. S. Zhuravleva
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Zhuravleva Maria S., student at Faculty Therapy Dept of Faculty of Pediatrics
Moscow
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Review
For citations:
Orlova N.V., Pecherskikh A.A., Cherenkova E.N., Zhuravleva M.S. Endocrine disorders associated with COVID 19. Adrenal insufficiency. Medical alphabet. 2022;(25):41-44. (In Russ.) https://doi.org/10.33667/2078-5631-2022-25-41-44
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