Endocrine conditions and COVID-19

Endocrine conditions and COVID-19

Last updated 1 Jun 2020


Dr Peter Noone, Consultant in Occupational Medicine, HSE Dublin North East
Dr Eugene Waclawski, Honorary Srnior Lecturer, University of Glasgow

For Diabetes Types 1 and 2, see main Covid-age table


Endocrine condition








Addisons Disease Increased risk

Will require more medication if develops COVID-19


Tresoldi AS, et al. Increased Infection Risk in Addison’s Disease and Congenital Adrenal Hyperplasia. J Clin Endocrinol Metab 2020 Feb 1 (105) 2.

Wiebke A, Baldeweg SE, Pearce SHS, Simson HL.Endocrinology in the time of COVID-19: Management of Adrenal Insufficiency. European Journal fo Endocrinology online 01 April 2020.

BMI Add appropriate age for BMI level https://www.beckershospitalreview.com/public-health/obesity-increases-risk-for-covid-19-complications-data-shows.html
Cushing’s disease Low/Standard if treated https://pituitary.org.uk/news/2020/03/coronavirus-faqs/
Diabetes Insipidus Increased or low https://pituitary.org.uk/information/publications/essential-free-publications/factsheet-to-ae-and-hospital-staff-about-diabetes-insipidus/


Multiple Endocrine Neoplasia

MEN syndromes, SDH (succinate dehydrogenase) syndromes, active MTC (medullary thyroid cancer) and ACC (adrenal cortical carcinoma) classed as ‘underlying’ or ‘pre-existing’ conditions/diseases, & not thought at greater risk than the general public.

Adrenal insufficiency (from adrenal or pituitary surgery), diabetes or cancer metastases (especially to the lungs) may result in an increase in the risk of a severe infection response.


If untreated, risk may be high. If secondary to other conditions,treated adrenal insufficiency vulnerablity still high.

Prolactinoma, acromegaly, non-functioning adenoma

with no requirement for steroid replacement

Low/Standard https://pituitary.org.uk/news/2020/03/coronavirus-faqs/


Thyroid disorders Low/Standard https://www.btf-thyroid.org/news/thyroid-disease-and-coronavirus-covid-19


Vulnerability levels

Very high (Red)

Risk of severe illness or death if contracts COVID-19. Read more

High (Orange)

Likely to need hospitalisation if contracts COVID-19, with protracted illness and heavy NHS burden. Read more

Increased/Moderate (Yellow)

Increased risk compared with healthy individual but should recover.

Low/Standard (Green)

No greater risk than healthy individual.