endofocusFOCUS ЭндокринологияFOCUS. Endocrinology2713-01772713-0185ООО "Издательство "Перо"10.62751/2713-0177-2025-6-4-09endofocus-157Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWТиреоидит, ассоциированный с COVID-19: есть ли отличия от подострого тиреоидита другой вирусной этиологии?Thyroiditis associated with COVID-19: Is there a difference between subacute thyroiditis the other viral etiology?https://orcid.org/0000-0002-8520-8702ТрошинаЕ. А.TroshinaE. A.

Трошина Екатерина Анатольевна – д.м.н., член-корр. РАН, профессор, директор Института клинической эндокринологии

г. Москва

Ekaterina А. Troshina – D. Sci. (Med.), Corresponding Member of the Russian Academy of Sciences, Prof., Director of the Institute of Clinical Endocrinology

Moscow

troshina@inbox.ruhttps://orcid.org/0000-0001-8733-3710АнкинаВ. Д.AnkinaV. D.

Анкина Влада Денисовна – клинический ординатор

г. Москва

Vlada A. Denisovna – Clinical Resident

Moscow

vlada.ankina@mail.ruhttps://orcid.org/0000-0001-8077-9381МазуринаН. В.MazurinaN. V.

Мазурина Наталия Валентиновна – д.м.н., ведущий научный сотрудник отдела терапевтической эндокринологии

Rеsearcher ID: S-2312-2016

г. Москва

Natalia V. Mazurina – D. Sci. (Med.), Senior Researcher at Department of Therapeutic Endocrinology

Researcher ID: S-2312-2016

Moscow

natalyamazurina@mail.ruhttps://orcid.org/0000-0001-6388-1544ПлатоноваН. М.PlatonovaN. M.

Платонова Надежда Михайловна – д.м.н., заведующая отделом терапевтической эндокринологии

г. Москва

Nadezhda M. Platonova – D. Sci. (Med.), Head of the Department of Therapeutic Endocrinology, Scientific Research Center

Moscow

platonova.nadezhda@endocrincentr.ruГНЦ РФ ФГБУ «Национальный медицинский исследовательский центр эндокринологии им. академика И.И. Дедова» Минздрава РоссииEndocrinology Research Centre20252712202564Нейроэндокринология7176Copyright © Трошина Е.А., Анкина В.Д., Мазурина Н.В., Платонова Н.М., 20252025Трошина Е.А., Анкина В.Д., Мазурина Н.В., Платонова Н.М.Troshina E.A., Ankina V.D., Mazurina N.V., Platonova N.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://endofocus.elpub.ru/jour/article/view/157

Подострый тиреоидит (ПТ; синонимы: гранулематозный тиреоидит, тиреоидит де Кервена, вирусный тиреоидит, гигантоклеточный тиреоидит) – патология щитовидной железы воспалительного характера, предположительно вирусной этиологии, длящаяся от одной недели до нескольких месяцев, чаще всего проявляющаяся в разгаре заболевания выраженной болезненностью в области щитовидной железы и лихорадкой, иногда с присоединением симптомов тиреотоксикоза, и имеющая склонность к рецидивированию. Пандемия COVID-19 изменила устоявшиеся представления об эпидемиологии, патогенезе, особенностях клинического течения тиреоидитов, ассоциированных с вирусными инфекциями. Клинические симптомы и лабораторные признаки, которые ранее считались патогномоничными для ПТ (боль в шее, лихорадка, выраженное повышение скорости оседания эритроцитов), больше не могут считаться таковыми. Несмотря на доступность инструментальных и лабораторных методов исследования, в настоящее время возникают определенные сложности в диагностике и дифференциальной диагностике ПТ. Цель данного обзора – обобщение новых данных о диагностике ПТ, его клиническом течении и подходах к ведению пациентов.

Subacute thyroiditis (ST; synonyms: granulomatous thyroiditis, De Kerven’s thyroiditis, viral thyroiditis, giant cell thyroiditis) is a inflammatory disease of thyroid gland (TG), presumably viral etiology, lasting from one week to several months, аt the height of the disease most often manifested by a pronounced pain in the area of TG and fever, sometimes with attachment of symptoms of thyrotoxicosis; having a tendency to reccurence. The COVID-19 pandemic has changed established perceptions about epidemiology, pathogenesis, clinical characteristics of thyroid infections associated with viral infections. Clinical symptoms and laboratory signs that were previously considered pathognetic for ST (neck pain, fever, pronounced increase in erythrocyte sedimentation rate) can no longer be considered as such. Despite the availability of instrumental and laboratory methods of investigation, there are currently some difficulties in the diagnosis and differential diagnosis of ST. Thus, the objective of this review is to synthesize new data on the diagnosis of ST, its clinical course and approaches to patient management.

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The authors declare that there are no conflicts of interest present.