Endocrine and metabolic aspects of the COVID-19 pandemic

Mónica Marazuela, Andrea Giustina, Manuel Puig-Domingo

Research output: Contribution to journalReview articlepeer-review

Abstract

COVID-19 infection has tremendously impacted our daily clinical practice as well as our social living organization. Virtually all organs and biological systems suffer from this new coronavirus infection, either because the virus targets directly specific tissues or because of indirect effects. Endocrine diseases are not an exception and some of endocrine organs are at risk of direct or indirect lesion by COVID-19. Although there is still no evidence of higher predisposition to contract the infection in patients with diabetes and/or obesity, the coexistence of these conditions contributes to a worse prognosis because both conditions confer an impaired immunologic system. Cytokines storm can be amplified by these two latter conditions thereby leading to multisystemic failure and death. Glycaemic control has been demonstrated to be crucial to avoiding long hospital stays, ICU requirement and also prevention of excessive mortality. Endocrine treatment modifications as a consequence of COVID-19 infection are required in a proactive manner, in order to avoid decompensation and eventual hospital admission. This is the case of diabetes and adrenal insufficiency in which prompt increase of insulin dosage and substitutive adrenal steroids through adoption of the sick day’s rules should be warranted, as well as easy contact with the health care provider through telematic different modalities. New possible endocrinological targets of COVID-19 have been recently described and warrant a full study in the next future.

Original languageEnglish
Pages (from-to)495-507
Number of pages13
JournalReviews in Endocrine and Metabolic Disorders
Volume21
Issue number4
DOIs
Publication statusPublished - Dec 1 2020

Keywords

  • Calcium
  • Covid-19
  • Diabetes mellitus
  • Hypoadrenalism
  • Malnourishment
  • Obesity
  • Pituitary
  • Thyroid
  • Vitamin D

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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