Popis: |
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. |