That interesting Townsend Letter article on Hashimoto’s disease and Covid-19 vaccination (June 2022) left an interesting question unanswered: whether people with immune thyroiditis were at greater risk of a severe response to infection, that is are they were more likely to end up in hospital? How else might we balance risk of disease vs. risk of vaccination with any sense of even rough approximation?
An interesting review by Lisco et al was published in September 2021 that might help inform our assessments of risk.1 Their comprehensive literature review asked several relevant questions that we should be curious about: “What evidence suggests that COVID-19 may induce detrimental consequences on thyroid function?”; “Could previous or concomitant thyroid diseases deteriorate the prognosis of COVID-19 once the infection has occurred?”; “Could medical management of thyroid diseases influence the clinical course of COVID-19?”; “Does medical management of COVID-19 interfere with thyroid function?”; “Are there defined strategies to better manage endocrine diseases despite restrictive measures and in-hospital and ambulatory activities reorganizations?”
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