4.3 Review

Potential impacts of SARS-CoV-2 on parathyroid: current advances and trends

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Summary: Long COVID is a common and debilitating illness that affects at least 10% of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections, with a wide range of symptoms and impacts on multiple organ systems. There are an estimated 65 million individuals worldwide with long COVID, and the number of cases is increasing daily. Current diagnostic and treatment options are insufficient, and there is a need for clinical trials to address leading hypotheses. Future research should account for biases and testing issues, build on viral-onset research, include marginalized populations, and meaningfully engage patients.

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Summary: VFs, an important component of the endocrine phenotype of COVID-19, appear to influence respiratory function in COVID-19 survivors. This study suggests that VFs assessment may help identify patients needing more intensive respiratory follow-up and patients with persistent respiratory impairment without pulmonary disease may benefit from VFs assessment to prevent further fractures and respiratory deterioration.

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Summary: During the COVID-19 pandemic, pharmacologic management of patients with primary hyperparathyroidism and severe hypercalcemia presents a reasonable alternative to parathyroid surgery. Appropriate monitoring and remote medical follow-up are essential for controlling serum calcium and improving bone density until the pandemic ends.

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