Auto-immune thyroiditis in SARS-CoV-2 exposed twins

OBJECTIVE: In the coronavirus disease 2019 (COVID-19) pandemic. a spectrum of sequelae affecting different organs has been reported. Of these, the ones affecting the thyroid gland have been reported. especially in the adults. CASE REPORT: We present previously healthy twin adolescents with no history of thyroid disease. presenting with signs and symptoms of hypothyroidism after recovery from mild COVID-19 infection. Their investigations were consistent with auto-immune thyroiditis with primary hypothyroidism. showing markedly elevated thyroid-stimulating hormone (TSH). suppressed FT4 levels, positive anti-thyroid peroxidase antibody and anti-thyroglobulin antibody titres. They were treated accordingly and showed quick clinical improvement in symptoms. CONCLUSIONS: This case report demonstrates that COVID-19 infection can be temporally associated with primary hypothyroidism in genetically predisposed children adding more to the growing list of sequelae especially in children.