Pulse Brain · Growing Health Evidence Index
Tier 4 — Narrative / commentaryPeer-reviewed

COVID-19 and the pituitary

Stefano Frara, Agnese Allora, Laura Castellino, Luigi di Filippo, Paola Loli, Andrea Giustina

Pituitary · 2021

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Summary

This narrative review, published in 2021, synthesises emerging evidence on pituitary gland involvement in COVID-19 infection. The authors examine documented cases of acute pituitary dysfunction and endocrine complications reported in patients with severe coronavirus disease, discussing potential mechanisms of viral-induced anterior and posterior pituitary injury. The work reflects early clinical observations as suggested by 2020–2021 case reports and small cohort studies during the pandemic's initial phase.

UK applicability

The clinical findings are applicable to UK hospitals managing acute COVID-19 and post-acute sequelae; however, applicability depends on whether pituitary dysfunction represents a significant long-term complication burden in the UK population, which would require follow-up epidemiological assessment.

Key measures

Clinical presentation of pituitary dysfunction; prevalence of endocrine abnormalities; hormone levels (cortisol, ACTH, prolactin, TSH); radiological findings on MRI

Outcomes reported

The study examined reported cases and clinical manifestations of pituitary dysfunction associated with COVID-19 infection. It synthesised evidence on endocrine complications in hospitalised and post-acute COVID-19 patients.

Theme
Nutrition & health
Subject
Other / interdisciplinary
Study type
Narrative Review
Study design
Narrative review
Source type
Peer-reviewed study
Status
Published
Geography
International
System type
Human clinical
DOI
10.1007/s11102-021-01148-1
Catalogue ID
SNmotmpttk-133owr

Topic tags

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