Enlargement of the THYROID GLAND that may increase from about 20 grams to hundreds of grams in human adults. Goiter is observed in individuals with normal thyroid function (euthyroidism), thyroid deficiency (HYPOTHYROIDISM), or hormone overproduction (HYPERTHYROIDISM). Goiter may be congenital or acquired, sporadic or endemic (GOITER, ENDEMIC).
An enlarged THYROID GLAND containing multiple nodules (THYROID NODULE), usually resulting from recurrent thyroid HYPERPLASIA and involution over many years to produce the irregular enlargement. Multinodular goiters may be nontoxic or may induce THYROTOXICOSIS.
A form of IODINE deficiency disorders characterized by an enlargement of the THYROID GLAND in a significantly large fraction of a POPULATION GROUP. Endemic goiter is common in mountainous and iodine-deficient areas of the world where the DIET contains insufficient amount of iodine.
An enlarged THYROID GLAND with at least 50% of the gland situated behind the STERNUM. It is an unusual presentation of an intrathoracic goiter. Substernal goiters frequently cause compression on the TRACHEA leading to deviation, narrowing, and respiratory symptoms.
The constant presence of diseases or infectious agents within a given geographic area or population group. It may also refer to the usual prevalence of a given disease with such area or group. It includes holoendemic and hyperendemic diseases. A holoendemic disease is one for which a high prevalent level of infection begins early in life and affects most of the child population, leading to a state of equilibrium such that the adult population shows evidence of the disease much less commonly than do children (malaria in many communities is a holoendemic disease). A hyperendemic disease is one that is constantly present at a high incidence and/or prevalence rate and affects all groups equally. (Last, A Dictionary of Epidemiology, 3d ed, p53, 78, 80)
A nonmetallic element of the halogen group that is represented by the atomic symbol I, atomic number 53, and atomic weight of 126.90. It is a nutritionally essential element, especially important in thyroid hormone synthesis. In solution, it has anti-infective properties and is used topically.
A highly vascularized endocrine gland consisting of two lobes joined by a thin band of tissue with one lobe on each side of the TRACHEA. It secretes THYROID HORMONES from the follicular cells and CALCITONIN from the parafollicular cells thereby regulating METABOLISM and CALCIUM level in blood, respectively.
Surgical removal of the thyroid gland. (Dorland, 28th ed)
Pathological processes involving the THYROID GLAND.
Hypersecretion of THYROID HORMONES from the THYROID GLAND. Elevated levels of thyroid hormones increase BASAL METABOLIC RATE.
A glycoprotein hormone secreted by the adenohypophysis (PITUITARY GLAND, ANTERIOR). Thyrotropin stimulates THYROID GLAND by increasing the iodide transport, synthesis and release of thyroid hormones (THYROXINE and TRIIODOTHYRONINE). Thyrotropin consists of two noncovalently linked subunits, alpha and beta. Within a species, the alpha subunit is common in the pituitary glycoprotein hormones (TSH; LUTEINIZING HORMONE and FSH), but the beta subunit is unique and confers its biological specificity.
A common form of hyperthyroidism with a diffuse hyperplastic GOITER. It is an autoimmune disorder that produces antibodies against the THYROID STIMULATING HORMONE RECEPTOR. These autoantibodies activate the TSH receptor, thereby stimulating the THYROID GLAND and hypersecretion of THYROID HORMONES. These autoantibodies can also affect the eyes (GRAVES OPHTHALMOPATHY) and the skin (Graves dermopathy).
Tumors or cancer of the THYROID GLAND.
Agents that are used to treat hyperthyroidism by reducing the excessive production of thyroid hormones.
Inflammatory diseases of the THYROID GLAND. Thyroiditis can be classified into acute (THYROIDITIS, SUPPURATIVE), subacute (granulomatous and lymphocytic), chronic fibrous (Riedel's), chronic lymphocytic (HASHIMOTO DISEASE), transient (POSTPARTUM THYROIDITIS), and other AUTOIMMUNE THYROIDITIS subtypes.
Thyroglobulin is a glycoprotein synthesized and secreted by thyroid follicular cells, serving as a precursor for the production of thyroid hormones T3 and T4, and its measurement in blood serves as a tumor marker for thyroid cancer surveillance.
Pathological enlargement of the LINGUAL THYROID, ectopic thyroid tissue at the base of the TONGUE. It may cause upper AIRWAY OBSTRUCTION; DYSPHAGIA; or HYPOTHYROIDISM symptoms.
The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism.
A syndrome that results from abnormally low secretion of THYROID HORMONES from the THYROID GLAND, leading to a decrease in BASAL METABOLIC RATE. In its most severe form, there is accumulation of MUCOPOLYSACCHARIDES in the SKIN and EDEMA, known as MYXEDEMA.
A hypermetabolic syndrome caused by excess THYROID HORMONES which may come from endogenous or exogenous sources. The endogenous source of hormone may be thyroid HYPERPLASIA; THYROID NEOPLASMS; or hormone-producing extrathyroidal tissue. Thyrotoxicosis is characterized by NERVOUSNESS; TACHYCARDIA; FATIGUE; WEIGHT LOSS; heat intolerance; and excessive SWEATING.
Inflammatory disease of the THYROID GLAND due to autoimmune responses leading to lymphocytic infiltration of the gland. It is characterized by the presence of circulating thyroid antigen-specific T-CELLS and thyroid AUTOANTIBODIES. The clinical signs can range from HYPOTHYROIDISM to THYROTOXICOSIS depending on the type of autoimmune thyroiditis.
Blood tests used to evaluate the functioning of the thyroid gland.
Natural hormones secreted by the THYROID GLAND, such as THYROXINE, and their synthetic analogs.
Sodium chloride used in foods.
An inorganic compound that is used as a source of iodine in thyrotoxic crisis and in the preparation of thyrotoxic patients for thyroidectomy. (From Dorland, 27th ed)
A condition in infancy or early childhood due to an in-utero deficiency of THYROID HORMONES that can be caused by genetic or environmental factors, such as thyroid dysgenesis or HYPOTHYROIDISM in infants of mothers treated with THIOURACIL during pregnancy. Endemic cretinism is the result of iodine deficiency. Clinical symptoms include severe MENTAL RETARDATION, impaired skeletal development, short stature, and MYXEDEMA.
Unstable isotopes of iodine that decay or disintegrate emitting radiation. I atoms with atomic weights 117-139, except I 127, are radioactive iodine isotopes.
A preparation of oil that contains covalently bound IODINE. It is commonly used as a RADIOCONTRAST AGENT and as a suspension medium for CHEMOTHERAPEUTIC AGENTS.
Traumatic injuries to the RECURRENT LARYNGEAL NERVE that may result in vocal cord dysfunction.
Spontaneously remitting inflammatory condition of the THYROID GLAND, characterized by FEVER; MUSCLE WEAKNESS; SORE THROAT; severe thyroid PAIN; and an enlarged damaged gland containing GIANT CELLS. The disease frequently follows a viral infection.
Inorganic compounds that contain iodine as an integral part of the molecule.
An adenocarcinoma of the thyroid gland, in which the cells are arranged in the form of follicles. (From Dorland, 27th ed)
A T3 thyroid hormone normally synthesized and secreted by the thyroid gland in much smaller quantities than thyroxine (T4). Most T3 is derived from peripheral monodeiodination of T4 at the 5' position of the outer ring of the iodothyronine nucleus. The hormone finally delivered and used by the tissues is mainly T3.
Inorganic binary compounds of iodine or the I- ion.
A hemeprotein that catalyzes the oxidation of the iodide radical to iodine with the subsequent iodination of many organic compounds, particularly proteins. EC 1.11.1.8.
A malignant neoplasm characterized by the formation of numerous, irregular, finger-like projections of fibrous stroma that is covered with a surface layer of neoplastic epithelial cells. (Stedman, 25th ed)
Tracheal stenosis is a medical condition characterized by an abnormal narrowing or constriction of the lumen of the trachea, which can lead to respiratory distress and other related symptoms.
The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.
A thioureylene antithyroid agent that inhibits the formation of thyroid hormones by interfering with the incorporation of iodine into tyrosyl residues of thyroglobulin. This is done by interfering with the oxidation of iodide ion and iodotyrosyl groups through inhibition of the peroxidase enzyme.
An agent thought to have disinfectant properties and used as an expectorant. (From Martindale, The Extra Pharmacopoeia, 30th ed, p747)
A thyroid neoplasm of mixed papillary and follicular arrangement. Its biological behavior and prognosis is the same as that of a papillary adenocarcinoma of the thyroid. (From DeVita Jr et al., Cancer: Principles & Practice of Oncology, 3d ed, p1271)
The inanimate matter of Earth, the structures and properties of this matter, and the processes that affect it.
Autoantibodies that bind to the thyroid-stimulating hormone (TSH) receptor (RECEPTORS, THYROTROPIN) on thyroid epithelial cells. The autoantibodies mimic TSH causing an unregulated production of thyroid hormones characteristic of GRAVES DISEASE.
A form of chronic interstitial nephritis that is endemic to limited areas of BULGARIA, the former YUGOSLAVIA, and ROMANIA. It is characterized by a progressive shrinking of the KIDNEYS that is often associated with uroepithelial tumors.

The predominant form of non-toxic goiter in Greece is now autoimmune thyroiditis. (1/86)

Endemic non-toxic goiter (NTG) in Greece has been attributed primarily to iodine deficiency. Thirty years ago about 60% of the prepubertal boys and girls examined in endemic goiter regions presented with NTG and among them thyroid autoimmunity was rarely detected. Although iodine supplementation has corrected this deficiency during the past 30 years, new cases of NTG still appear. To evaluate the prevalence and type of NTG and the effect of iodine supplementation on them in Greece at present, we performed two cross-sectional clinical studies and a retrospective pathology one: (i) thyroid gland volume and urinary iodine excretion (UIE) were assessed in a representative sample of 1213 schoolchildren from previously endemic and non-endemic regions; (ii) serum thyroxine, tri-iodothyronine, TSH, thyroid autoantibodies (AAB) (anti-thyroid peroxidase and anti-thyroglobulin antibodies) and UIE (in 60 patients) were measured in 300 consecutive patients with NTG from Athens and Heraklion; and (iii) we compared the prevalence of autoimmunity among fine needle aspiration smears of benign thyroid pathologies performed by the same pathologist between 1985 and 1986 (975 cases) and between 1994 and 1995 (2702 cases). We found that 12. 5% of the schoolchildren examined in regions with a previous history of endemic goiter had NTG, whereas this percentage was only 1.7% in areas without such a history. In Athens (61.6%) and Heraklion (58. 5%) a substantial number of NTG patients were AAB positive and biochemically hypothyroid. UIE in Athens did not differ between patients with autoimmune goiter (ATG) and simple goiter. The prevalence of autoimmune stigmata in pathology smears has increased from 5.94% (years 1985-1986) to 13.91% (years 1994-1995) (P<0.05). We conclude that: (i) the persistence of endemic goiter in regional foci despite iodine deficiency correction suggests a possible role for a naturally occurring goitrogen; (ii) ATG is the predominant form of NTG in Greece nowadays; and (iii) the five-fold decrease in the prevalence of NTG during the past 30 years followed by the increase of ATG may support the relative character of the latter.  (+info)

Case-control study of thyroid cancer in Northern Italy: attributable risk. (2/86)

BACKGROUND: The percentage of thyroid cancer cases attributable to specific risk factors can be calculated to focus preventive strategies. The per cent population attributable risks (PAR) for thyroid cancer were estimated in relation to history of benign thyroid diseases, history of radiotherapy, residence in endemic goitre areas and selected indicators of a poor diet, using data from a case-control study conducted between 1986 and 1992 in Northern Italy. METHODS: Cases were 399 histologically confirmed incident thyroid cancers and controls were 617 patients, admitted to hospital for a wide range of acute, non-neoplastic, non-hormone-related diseases. The PAR were computed on the basis of multivariate odds ratios (OR) and on the distribution of risk exposure among cases, assuming they are representative of the general population of cases. RESULTS: A history of benign thyroid disease accounted for 18.9% of cases, radiotherapy for 1.2%, residence for > or =20 years in endemic goitre areas for 2.4% of cases, and their combination for 21.7% of thyroid cancer cases; selected indicators of a poor diet accounted for 40.9% of thyroid cancer cases in this population. The combination of all factors considered explained over 57% of thyroid cancer cases in both sexes. The estimates for thyroid-related conditions were higher in women than men, whereas the opposite was true for dietary indicators. The overall PAR were somewhat higher in people aged > or =45 years (63.8%) than in younger subjects, and for follicular (69.1%) rather than papillary (53.7%) cancers. CONCLUSIONS: Exposure to a few simply identified and potentially modifiable risk factors or indicators (benign thyroid disease, residence in endemic goitre area and a poor diet) explained about 60% of thyroid cancer cases in this Italian population, indicating the theoretical scope for prevention.  (+info)

Endemic goiter with iodine sufficiency: a possible role for the consumption of pearl millet in the etiology of endemic goiter. (3/86)

BACKGROUND: Deficiencies of iodine, iron, and vitamin A are the 3 most common micronutrient deficiencies in developing countries, although control programs, when properly implemented, can be effective. OBJECTIVE: We investigated these deficiencies and their possible interaction in preschool children in the southern Blue Nile area of Sudan. DESIGN: Goiter, signs of vitamin A deficiency, and biochemical markers of thyroid, vitamin A, and iron status were assessed in 984 children aged 1-6 y. RESULTS: The goiter rate was 22. 3%. The median urinary iodine concentration was 0.79 micromol/L and 19.3% of the children had a concentration >1.57 micromol/L. Although serum thyroxine and triiodothyronine concentrations were within reference ranges, the median thyrotropin concentration was 3.78 mIU/L and 44% of the children had thyrotropin concentrations above normal. The mean urinary thiocyanate concentration was high (259 +/- 121 micromol/L). The prevalences of Bitot spots and night blindness were 2.94% and 2.64%, respectively, and 32% of the subjects had serum retinol binding protein concentrations <15 mg/L. A significant positive correlation was observed between thyrotropin and retinol binding protein. Whereas 88% of the children had hemoglobin concentrations <1.86 mmol/L, only 13.5% had serum ferritin concentrations below the cutoff of 12 microg/L and 95% had serum transferrin concentrations above the cutoff of 2.50 g/L. CONCLUSIONS: Our results indicate that goiter is endemic in this region of Sudan despite iodine sufficiency and that both anemia and vitamin A deficiency are health problems in the area. Moreover, consumption of millet, vitamin A deficiency, and protein-energy malnutrition are possible etiologic factors in this endemic area.  (+info)

Short-term effectiveness of mandatory iodization of table salt, at an elevated iodine concentration, on the iodine and goiter status of schoolchildren with endemic goiter. (4/86)

BACKGROUND: Goiter rates and iodine deficiency usually show marked improvement in efficacy studies of mandatory iodization of salt, but little is known about the short-term effectiveness of mandatory iodization. OBJECTIVE: The aim of the study was to evaluate, after 1 y, the effectiveness of mandatory iodization of salt at an iodine concentration higher than that occurring under optional iodization on the goiter rates and iodine status of schoolchildren living in an endemically goitrous area. DESIGN: Goiters, measured by palpation, and urinary iodine concentrations of children in grades 4-7 in 4 schools in a known goitrous area in South Africa were assessed before and 1 y after the introduction of mandatory iodization at a higher iodine concentration than occurred with optional iodization. Estimates of the iodine concentration of iodized salt and the proportion of households using iodized salt were also made. RESULTS: Iodine concentration in table salt and household use of iodized salt improved within 1 y. Goiter rates, which varied at baseline from 14. 3% to 30.2% in the 4 schools, remained unchanged, with an overall mean (+/-SE) prevalence of 25.6 +/- 2.5% at baseline and of 27.5 +/- 2.7% 1 y later. The distribution of urinary iodine concentrations in the 4 schools improved substantially from the baseline deficient range. The overall median urinary iodine concentration increased from 0.17 to 1.47 micromol/L. CONCLUSIONS: Mandatory iodization of salt virtually eradicated iodine deficiency within 1 y in South African schoolchildren, but the goiter rate in these children did not decline. Measurement of goiters by palpation may not be appropriate in short-term evaluations of mandatory iodization programs.  (+info)

Persistence of goiter despite oral iodine supplementation in goitrous children with iron deficiency anemia in Cote d'Ivoire. (5/86)

BACKGROUND: In developing countries, many children are at high risk of goiter and iron deficiency anemia. Because iron deficiency can have adverse effects on thyroid metabolism, iron deficiency may influence the response to supplemental iodine in areas of endemic goiter. OBJECTIVE: The aim of this study was to determine whether goitrous children with iron deficiency anemia would respond to oral iodine supplementation. DESIGN: A trial of oral iodine supplementation was carried out in an area of endemic goiter in western Cote d'Ivoire in goitrous children (n = 109) aged 6-12 y. Group 1 (n = 53) consisted of goitrous children who were not anemic. Group 2 (n = 56) consisted of goitrous children who had iron deficiency anemia. At baseline, thyroid gland volume and urinary iodine, thyrotropin, and thyroxine were measured by using ultrasound. Each child received 200 mg I orally and was observed for 30 wk, during which urinary iodine, thyrotropin, thyroxine, hemoglobin, and thyroid gland volume were measured. RESULTS: The prevalence of goiter at 30 wk was 12% in group 1 and 64% in group 2. The mean percentage change from baseline in thyroid volume 30 wk after administration of oral iodine was -45.1% in group 1 and -21.8% in group 2 (P < 0.001). Among the anemic children, there was a strong correlation between the percentage decrease in thyroid volume and hemoglobin concentration (r(2) = 0.65). CONCLUSION: The therapeutic response to oral iodine was impaired in goitrous children with iron deficiency anemia, suggesting that the presence of iron deficiency anemia in children limits the effectiveness of iodine intervention programs.  (+info)

Iron supplementation in goitrous, iron-deficient children improves their response to oral iodized oil. (6/86)

OBJECTIVE: In developing countries, many children are at high risk for both goiter and iron-deficiency anemia. Because iron deficiency may impair thyroid metabolism, the aim of this study was to determine if iron supplementation improves the response to oral iodine in goitrous, iron-deficient anemic children. DESIGN: A trial of oral iodized oil followed by oral iron supplementation in an area of endemic goiter in the western Ivory Coast. METHODS: Goitrous, iodine-deficient children (aged 6-12 years; n=109) were divided into two groups: Group 1 consisted of goitrous children who were not anemic; Group 2 consisted of goitrous children who were iron-deficient anemic. Both groups were given 200mg oral iodine as iodized oil. Thyroid gland volume using ultrasound, urinary iodine concentration (UI), serum thyroxine (T(4)) and whole blood TSH were measured at baseline, and at 1, 5, 10, 15 and 30 weeks post intervention. Beginning at 30 weeks, the anemic group was given 60mg oral iron as ferrous sulfate four times/week for 12 weeks. At 50 and 65 weeks after oral iodine (8 and 23 weeks after completing iron supplementation), UI, TSH, T(4) and thyroid volume were remeasured. RESULTS: The prevalence of goiter at 30 weeks after oral iodine in Groups 1 and 2 was 12% and 64% respectively. Mean percent change in thyroid volume compared with baseline at 30 weeks in Groups 1 and 2 was -45.1% and -21.8% respectively (P<0.001 between groups). After iron supplementation in Group 2, there was a further decrease in mean thyroid volume from baseline in the anemic children (-34.8% and -38.4% at 50 and 65 weeks) and goiter prevalence fell to 31% and 20% at 50 and 65 weeks. CONCLUSION: Iron supplementation may improve the efficacy of oral iodized oil in goitrous children with iron-deficiency anemia.  (+info)

Endemic goiter associated with high iodine intake. (7/86)

OBJECTIVES: This study assessed the relation of iodine content of household water to thyroid size and urinary iodine excretion in an area with high iodine concentration in the water. METHODS: The iodine content of household water and indicators of iodine status (thyroid size and urinary iodine level) were assessed in selected villages in Jiangsu Province, China. RESULTS: Water iodine levels were positively correlated with urinary iodine levels and indicators of thyroid size at the township level. CONCLUSIONS: Excess iodine in household water was the likely cause of endemic goiter and elevated urinary iodine levels in the study area. This finding affects public health policy on the institution of universal salt iodization for the elimination of iodine deficiency disorders.  (+info)

Changes in serum thyroid hormone levels in newborn calves as a diagnostic index of endemic goiter. (8/86)

Maximum serum thyroxine (T4) and triiodothyronine (T3) levels of healthy calves were seen at 1 day after birth, and thereafter rapidly decreased until 5 days after birth. They stabilized until 2 weeks after birth, then gradually decreased until 4 weeks after birth. Serum T4 levels of calves with endemic goiter tended to be lower than those of healthy ones, but showed similar levels to those of adult cows. T3 levels of calves with goiter were similar to those of healthy ones, but showed higher variation. T4/T3 ratio of calves with goiter were significantly lower than those of healthy ones and adult cows. While individual levels of serum T4 and T3 at just after birth could not be considered as a diagnostic index, the T4/T3 ratio could be adopted as a diagnostic index of endemic goiter.  (+info)

Goiter is a medical term that refers to an enlarged thyroid gland. The thyroid gland is a small, butterfly-shaped gland located in the front of your neck below the larynx or voice box. It produces hormones that regulate your body's metabolism, growth, and development.

Goiter can vary in size and may be visible as a swelling at the base of the neck. It can be caused by several factors, including iodine deficiency, autoimmune disorders, thyroid cancer, pregnancy, or the use of certain medications. Depending on the underlying cause and the severity of the goiter, treatment options may include medication, surgery, or radioactive iodine therapy.

A goiter is an abnormal enlargement of the thyroid gland, which is a butterfly-shaped endocrine gland located in the front of the neck. Goiters can be either diffuse (uniformly enlarged) or nodular (lumpy with distinct nodules). Nodular goiter refers to a thyroid gland that has developed one or more discrete lumps or nodules while the remaining tissue is normal or may also be diffusely enlarged.

Nodular goiters can be classified into two types: multinodular goiter and solitary thyroid nodule. Multinodular goiter consists of multiple nodules in the thyroid gland, while a solitary thyroid nodule is an isolated nodule within an otherwise normal or diffusely enlarged thyroid gland.

The majority of nodular goiters are benign and do not cause symptoms. However, some patients may experience signs and symptoms related to compression of nearby structures (such as difficulty swallowing or breathing), hyperthyroidism (overactive thyroid), or hypothyroidism (underactive thyroid). The evaluation of a nodular goiter typically includes a physical examination, imaging studies like ultrasound, and sometimes fine-needle aspiration biopsy to determine the nature of the nodules and assess the risk of malignancy. Treatment options depend on various factors, including the size and number of nodules, the presence of compressive symptoms, and the patient's thyroid function.

Endemic goiter refers to a condition of abnormal enlargement of the thyroid gland that is prevalent in a particular geographic area due to deficiency of iodine in the diet or drinking water. The lack of iodine leads to decreased production of thyroid hormones, which in turn stimulates the thyroid gland to grow and attempt to increase hormone production. This results in the visible enlargement of the thyroid gland, known as a goiter. Endemic goiter is preventable through iodine supplementation in the diet or through iodized salt.

Substernal goiter refers to an enlarged thyroid gland that extends below the sternum or breastbone. It is also known as a retrosternal goiter. This condition can cause compression of surrounding structures such as the trachea and esophagus, leading to symptoms like difficulty swallowing, shortness of breath, and cough. Substernal goiters may be asymptomatic or may require treatment, including surgery, to alleviate symptoms and prevent complications.

An endemic disease is a type of disease that is regularly found among particular people or in a certain population, and is spread easily from person to person. The rate of infection is consistently high in these populations, but it is relatively stable and does not change dramatically over time. Endemic diseases are contrasted with epidemic diseases, which suddenly increase in incidence and spread rapidly through a large population.

Endemic diseases are often associated with poverty, poor sanitation, and limited access to healthcare. They can also be influenced by environmental factors such as climate, water quality, and exposure to vectors like mosquitoes or ticks. Examples of endemic diseases include malaria in some tropical countries, tuberculosis (TB) in many parts of the world, and HIV/AIDS in certain populations.

Effective prevention and control measures for endemic diseases typically involve improving access to healthcare, promoting good hygiene and sanitation practices, providing vaccinations when available, and implementing vector control strategies. By addressing the underlying social and environmental factors that contribute to the spread of these diseases, it is possible to reduce their impact on affected populations and improve overall health outcomes.

Iodine is an essential trace element that is necessary for the production of thyroid hormones in the body. These hormones play crucial roles in various bodily functions, including growth and development, metabolism, and brain development during pregnancy and infancy. Iodine can be found in various foods such as seaweed, dairy products, and iodized salt. In a medical context, iodine is also used as an antiseptic to disinfect surfaces, wounds, and skin infections due to its ability to kill bacteria, viruses, and fungi.

The thyroid gland is a major endocrine gland located in the neck, anterior to the trachea and extends from the lower third of the Adams apple to the suprasternal notch. It has two lateral lobes, connected by an isthmus, and sometimes a pyramidal lobe. This gland plays a crucial role in the metabolism, growth, and development of the human body through the production of thyroid hormones (triiodothyronine/T3 and thyroxine/T4) and calcitonin. The thyroid hormones regulate body temperature, heart rate, and the production of protein, while calcitonin helps in controlling calcium levels in the blood. The function of the thyroid gland is controlled by the hypothalamus and pituitary gland through the thyroid-stimulating hormone (TSH).

Thyroidectomy is a surgical procedure where all or part of the thyroid gland is removed. The thyroid gland is a butterfly-shaped endocrine gland located in the neck, responsible for producing hormones that regulate metabolism, growth, and development.

There are different types of thyroidectomy procedures, including:

1. Total thyroidectomy: Removal of the entire thyroid gland.
2. Partial (or subtotal) thyroidectomy: Removal of a portion of the thyroid gland.
3. Hemithyroidectomy: Removal of one lobe of the thyroid gland, often performed to treat benign solitary nodules or differentiated thyroid cancer.

Thyroidectomy may be recommended for various reasons, such as treating thyroid nodules, goiter, hyperthyroidism (overactive thyroid), or thyroid cancer. Potential risks and complications of the procedure include bleeding, infection, damage to nearby structures like the parathyroid glands and recurrent laryngeal nerve, and hypoparathyroidism or hypothyroidism due to removal of or damage to the parathyroid glands or thyroid gland, respectively. Close postoperative monitoring and management are essential to minimize these risks and ensure optimal patient outcomes.

Thyroid diseases are a group of conditions that affect the function and structure of the thyroid gland, a small butterfly-shaped endocrine gland located in the base of the neck. The thyroid gland produces hormones that regulate many vital functions in the body, including metabolism, growth, and development.

Thyroid diseases can be classified into two main categories: hypothyroidism and hyperthyroidism. Hypothyroidism occurs when the thyroid gland does not produce enough hormones, leading to symptoms such as fatigue, weight gain, cold intolerance, constipation, and depression. Hyperthyroidism, on the other hand, occurs when the thyroid gland produces too much hormone, resulting in symptoms such as weight loss, heat intolerance, rapid heart rate, tremors, and anxiety.

Other common thyroid diseases include:

1. Goiter: an enlargement of the thyroid gland that can be caused by iodine deficiency or autoimmune disorders.
2. Thyroid nodules: abnormal growths on the thyroid gland that can be benign or malignant.
3. Thyroid cancer: a malignant tumor of the thyroid gland that requires medical treatment.
4. Hashimoto's disease: an autoimmune disorder that causes chronic inflammation of the thyroid gland, leading to hypothyroidism.
5. Graves' disease: an autoimmune disorder that causes hyperthyroidism and can also lead to eye problems and skin changes.

Thyroid diseases are diagnosed through a combination of physical examination, medical history, blood tests, and imaging studies such as ultrasound or CT scan. Treatment options depend on the specific type and severity of the disease and may include medication, surgery, or radioactive iodine therapy.

Hyperthyroidism is a medical condition characterized by an excessive production and release of thyroid hormones from the thyroid gland, leading to an increased metabolic rate in various body systems. The thyroid gland, located in the front of the neck, produces two main thyroid hormones: triiodothyronine (T3) and thyroxine (T4). These hormones play crucial roles in regulating many bodily functions, including heart rate, digestion, energy levels, and mood.

In hyperthyroidism, the elevated levels of T3 and T4 can cause a wide range of symptoms, such as rapid heartbeat, weight loss, heat intolerance, increased appetite, tremors, anxiety, and sleep disturbances. Some common causes of hyperthyroidism include Graves' disease, toxic adenoma, Plummer's disease (toxic multinodular goiter), and thyroiditis. Proper diagnosis and treatment are essential to manage the symptoms and prevent potential complications associated with this condition.

Thyrotropin, also known as thyroid-stimulating hormone (TSH), is a hormone secreted by the anterior pituitary gland. Its primary function is to regulate the production and release of thyroxine (T4) and triiodothyronine (T3) hormones from the thyroid gland. Thyrotropin binds to receptors on the surface of thyroid follicular cells, stimulating the uptake of iodide and the synthesis and release of T4 and T3. The secretion of thyrotropin is controlled by the hypothalamic-pituitary-thyroid axis: thyrotropin-releasing hormone (TRH) from the hypothalamus stimulates the release of thyrotropin, while T3 and T4 inhibit its release through a negative feedback mechanism.

Graves' disease is defined as an autoimmune disorder that leads to overactivity of the thyroid gland (hyperthyroidism). It results when the immune system produces antibodies that stimulate the thyroid gland, causing it to produce too much thyroid hormone. This can result in a variety of symptoms such as rapid heartbeat, weight loss, heat intolerance, and bulging eyes (Graves' ophthalmopathy). The exact cause of Graves' disease is unknown, but it is more common in women and people with a family history of the disorder. Treatment may include medications to control hyperthyroidism, radioactive iodine therapy to destroy thyroid tissue, or surgery to remove the thyroid gland.

Thyroid neoplasms refer to abnormal growths or tumors in the thyroid gland, which can be benign (non-cancerous) or malignant (cancerous). These growths can vary in size and may cause a noticeable lump or nodule in the neck. Thyroid neoplasms can also affect the function of the thyroid gland, leading to hormonal imbalances and related symptoms. The exact causes of thyroid neoplasms are not fully understood, but risk factors include radiation exposure, family history, and certain genetic conditions. It is important to note that most thyroid nodules are benign, but a proper medical evaluation is necessary to determine the nature of the growth and develop an appropriate treatment plan.

Antithyroid agents are a class of medications that are used to treat hyperthyroidism, a condition in which the thyroid gland produces too much thyroid hormone. These medications work by inhibiting the production of thyroid hormones in the thyroid gland. There are several types of antithyroid agents available, including:

1. Propylthiouracil (PTU): This medication works by blocking the enzyme that is needed to produce thyroid hormones. It also reduces the conversion of thyroxine (T4) to triiodothyronine (T3), another thyroid hormone, in peripheral tissues.
2. Methimazole: This medication works similarly to propylthiouracil by blocking the enzyme that is needed to produce thyroid hormones. However, it does not affect the conversion of T4 to T3 in peripheral tissues.
3. Carbimazole: This medication is converted to methimazole in the body and works similarly to block the production of thyroid hormones.

Antithyroid agents are usually taken orally, and their effects on thyroid hormone production begin within a few hours after ingestion. However, it may take several weeks for patients to notice an improvement in their symptoms. These medications can have side effects, including rash, hives, and joint pain. In rare cases, they can cause liver damage or agranulocytosis, a condition in which the body does not produce enough white blood cells.

It is important to note that antithyroid agents do not cure hyperthyroidism; they only treat the symptoms by reducing thyroid hormone production. Therefore, patients may need to take these medications for several months or even years, depending on their individual circumstances. In some cases, surgery or radioactive iodine therapy may be recommended as alternative treatments for hyperthyroidism.

Thyroiditis is a general term that refers to inflammation of the thyroid gland. It can be caused by various factors such as infections, autoimmune disorders, or medications. Depending on the cause and severity, thyroiditis may lead to overproduction (hyperthyroidism) or underproduction (hypothyroidism) of thyroid hormones, or it can result in a temporary or permanent loss of thyroid function.

There are several types of thyroiditis, including:

1. Hashimoto's thyroiditis - an autoimmune disorder where the body attacks and damages the thyroid gland, leading to hypothyroidism.
2. Subacute granulomatous thyroiditis (De Quervain's thyroiditis) - often follows a viral infection and results in painful inflammation of the thyroid gland, causing hyperthyroidism followed by hypothyroidism.
3. Silent thyroiditis - an autoimmune disorder similar to Hashimoto's thyroiditis but without symptoms like pain or tenderness; it can cause temporary hyperthyroidism and later hypothyroidism.
4. Postpartum thyroiditis - occurs in women after childbirth, causing inflammation of the thyroid gland leading to hyperthyroidism followed by hypothyroidism.
5. Acute suppurative thyroiditis - a rare bacterial infection that causes painful swelling and redness of the thyroid gland, usually requiring antibiotics for treatment.

Symptoms of thyroiditis depend on whether it leads to hyperthyroidism or hypothyroidism. Hyperthyroidism symptoms include rapid heartbeat, weight loss, heat intolerance, anxiety, and tremors. Hypothyroidism symptoms include fatigue, weight gain, cold intolerance, constipation, dry skin, and depression. Treatment varies depending on the type of thyroiditis and its severity.

Thyroglobulin is a protein produced and used by the thyroid gland in the production of thyroid hormones, primarily thyroxine (T4) and triiodothyronine (T3). It is composed of two subunits, an alpha and a beta or gamma unit, which bind iodine atoms necessary for the synthesis of the thyroid hormones. Thyroglobulin is exclusively produced by the follicular cells of the thyroid gland.

In clinical practice, measuring thyroglobulin levels in the blood can be useful as a tumor marker for monitoring treatment and detecting recurrence of thyroid cancer, particularly in patients with differentiated thyroid cancer (papillary or follicular) who have had their thyroid gland removed. However, it is important to note that thyroglobulin is not specific to thyroid tissue and can be produced by some non-thyroidal cells under certain conditions, which may lead to false positive results in some cases.

A lingual goiter, also known as a thyroid nodule or goiter of the tongue, is a rare condition where thyroid tissue grows on the base of the tongue instead of its normal location in the neck. This misplaced thyroid tissue can form a lump (nodule) that may cause difficulty swallowing, speaking, or breathing, especially if it becomes large. It's essential to differentiate this condition from other causes of neck masses and tongue enlargement. Diagnosis typically involves imaging tests like ultrasound, CT scan, or MRI, and sometimes a biopsy to confirm the nature of the tissue. Treatment options may include surgery to remove the abnormal thyroid tissue or radioactive iodine therapy to shrink it.

Thyroxine (T4) is a type of hormone produced and released by the thyroid gland, a small butterfly-shaped endocrine gland located in the front of your neck. It is one of two major hormones produced by the thyroid gland, with the other being triiodothyronine (T3).

Thyroxine plays a crucial role in regulating various metabolic processes in the body, including growth, development, and energy expenditure. Specifically, T4 helps to control the rate at which your body burns calories for energy, regulates protein, fat, and carbohydrate metabolism, and influences the body's sensitivity to other hormones.

T4 is produced by combining iodine and tyrosine, an amino acid found in many foods. Once produced, T4 circulates in the bloodstream and gets converted into its active form, T3, in various tissues throughout the body. Thyroxine has a longer half-life than T3, which means it remains active in the body for a more extended period.

Abnormal levels of thyroxine can lead to various medical conditions, such as hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid). These conditions can cause a range of symptoms, including weight gain or loss, fatigue, mood changes, and changes in heart rate and blood pressure.

Hypothyroidism is a medical condition where the thyroid gland, which is a small butterfly-shaped gland located in the front of your neck, does not produce enough thyroid hormones. This results in a slowing down of the body's metabolic processes, leading to various symptoms such as fatigue, weight gain, constipation, cold intolerance, dry skin, hair loss, muscle weakness, and depression.

The two main thyroid hormones produced by the thyroid gland are triiodothyronine (T3) and thyroxine (T4). These hormones play crucial roles in regulating various bodily functions, including heart rate, body temperature, and energy levels. In hypothyroidism, the production of these hormones is insufficient, leading to a range of symptoms that can affect multiple organ systems.

Hypothyroidism can be caused by several factors, including autoimmune disorders (such as Hashimoto's thyroiditis), surgical removal of the thyroid gland, radiation therapy for neck cancer, certain medications, and congenital defects. Hypothyroidism is typically diagnosed through blood tests that measure levels of TSH (thyroid-stimulating hormone), T3, and T4. Treatment usually involves taking synthetic thyroid hormones to replace the missing hormones and alleviate symptoms.

Thyrotoxicosis is a medical condition that results from an excess of thyroid hormones in the body, leading to an overactive metabolic state. It can be caused by various factors such as Graves' disease, toxic adenoma, Plummer's disease, or excessive intake of thyroid hormone medication. Symptoms may include rapid heart rate, weight loss, heat intolerance, tremors, and increased sweating, among others. Thyrotoxicosis is not a diagnosis itself but a manifestation of various underlying thyroid disorders. Proper diagnosis and management are crucial to prevent complications and improve quality of life.

Autoimmune thyroiditis, also known as Hashimoto's disease, is a chronic inflammation of the thyroid gland caused by an autoimmune response. In this condition, the immune system produces antibodies that attack and damage the thyroid gland, leading to hypothyroidism (underactive thyroid). The thyroid gland may become enlarged (goiter), and symptoms can include fatigue, weight gain, cold intolerance, constipation, dry skin, and depression. Autoimmune thyroiditis is more common in women than men and tends to run in families. It is often associated with other autoimmune disorders such as rheumatoid arthritis, Addison's disease, and type 1 diabetes. The diagnosis is typically made through blood tests that measure levels of thyroid hormones and antibodies. Treatment usually involves thyroid hormone replacement therapy to manage the symptoms of hypothyroidism.

Thyroid function tests (TFTs) are a group of blood tests that assess the functioning of the thyroid gland, which is a small butterfly-shaped gland located in the front of the neck. The thyroid gland produces hormones that regulate metabolism, growth, and development in the body.

TFTs typically include the following tests:

1. Thyroid-stimulating hormone (TSH) test: This test measures the level of TSH, a hormone produced by the pituitary gland that regulates the production of thyroid hormones. High levels of TSH may indicate an underactive thyroid gland (hypothyroidism), while low levels may indicate an overactive thyroid gland (hyperthyroidism).
2. Thyroxine (T4) test: This test measures the level of T4, a hormone produced by the thyroid gland. High levels of T4 may indicate hyperthyroidism, while low levels may indicate hypothyroidism.
3. Triiodothyronine (T3) test: This test measures the level of T3, another hormone produced by the thyroid gland. High levels of T3 may indicate hyperthyroidism, while low levels may indicate hypothyroidism.
4. Thyroid peroxidase antibody (TPOAb) test: This test measures the level of TPOAb, an antibody that attacks the thyroid gland and can cause hypothyroidism.
5. Thyroglobulin (Tg) test: This test measures the level of Tg, a protein produced by the thyroid gland. It is used to monitor the treatment of thyroid cancer.

These tests help diagnose and manage various thyroid disorders, including hypothyroidism, hyperthyroidism, thyroiditis, and thyroid cancer.

Thyroid hormones are hormones produced and released by the thyroid gland, a small endocrine gland located in the neck that helps regulate metabolism, growth, and development in the human body. The two main thyroid hormones are triiodothyronine (T3) and thyroxine (T4), which contain iodine atoms. These hormones play a crucial role in various bodily functions, including heart rate, body temperature, digestion, and brain development. They help regulate the rate at which your body uses energy, affects how sensitive your body is to other hormones, and plays a vital role in the development and differentiation of all cells of the human body. Thyroid hormone levels are regulated by the hypothalamus and pituitary gland through a feedback mechanism that helps maintain proper balance.

Sodium chloride, commonly known as salt, is an essential electrolyte in dietary intake. It is a chemical compound made up of sodium (Na+) and chloride (Cl-) ions. In a medical context, particularly in nutrition and dietetics, "sodium chloride, dietary" refers to the consumption of this compound in food sources.

Sodium plays a crucial role in various bodily functions such as maintaining fluid balance, assisting nerve impulse transmission, and contributing to muscle contraction. The Dietary Guidelines for Americans recommend limiting sodium intake to less than 2,300 milligrams (mg) per day and further suggest an ideal limit of no more than 1,500 mg per day for most adults, especially those with high blood pressure. However, the average American consumes more than twice the recommended amount, primarily from processed and prepared foods. Excessive sodium intake can lead to high blood pressure and increase the risk of heart disease and stroke.

Potassium iodide is an inorganic, non-radioactive salt of iodine. Medically, it is used as a thyroid blocking agent to prevent the absorption of radioactive iodine in the event of a nuclear accident or radiation exposure. It works by saturating the thyroid gland with stable iodide, which then prevents the uptake of radioactive iodine. This can help reduce the risk of thyroid cancer and other thyroid related issues that may arise from exposure to radioactive materials. Potassium iodide is also used in the treatment of iodine deficiency disorders.

Congenital hypothyroidism is a medical condition characterized by the partial or complete absence of thyroid hormone production in the baby's body at birth. The thyroid gland, which is located in the front of the neck, produces hormones that are essential for normal growth and development of the brain and body.

Congenital hypothyroidism can occur due to various reasons such as the absence or abnormal development of the thyroid gland, or a defect in the production or regulation of thyroid hormones. In some cases, it may be caused by genetic mutations that affect the development or function of the thyroid gland.

If left untreated, congenital hypothyroidism can lead to mental and physical retardation, growth problems, and other health issues. Therefore, it is important to diagnose and treat this condition as early as possible, usually within the first few weeks of life. Treatment typically involves replacing the missing thyroid hormones with synthetic medications, which are safe and effective when administered under a doctor's supervision.

Iodine radioisotopes are radioactive isotopes of the element iodine, which decays and emits radiation in the form of gamma rays. Some commonly used iodine radioisotopes include I-123, I-125, I-131. These radioisotopes have various medical applications such as in diagnostic imaging, therapy for thyroid disorders, and cancer treatment.

For example, I-131 is commonly used to treat hyperthyroidism and differentiated thyroid cancer due to its ability to destroy thyroid tissue. On the other hand, I-123 is often used in nuclear medicine scans of the thyroid gland because it emits gamma rays that can be detected by a gamma camera, allowing for detailed images of the gland's structure and function.

It is important to note that handling and administering radioisotopes require specialized training and safety precautions due to their radiation-emitting properties.

Iodized oil is a type of oil, often sesame or soybean oil, that has been artificially enriched with the essential micromineral iodine. It is typically used as a medical treatment for iodine deficiency disorders, such as goiter and cretinism, and for preventing their occurrence.

The iodization process involves binding iodine to the oil molecules, which allows the iodine to be slowly released and absorbed by the body over an extended period of time. This makes it an effective long-term supplement for maintaining adequate iodine levels in the body. Iodized oil is usually administered via intramuscular injection, and its effects can last for several months to a year.

It's important to note that while iodized oil is a valuable tool in addressing iodine deficiency on an individual level, global public health initiatives have focused on adding iodine to table salt (known as iodization of salt) as a more widespread and sustainable solution for eliminating iodine deficiency disorders.

Recurrent laryngeal nerve injuries refer to damages or trauma inflicted on the recurrent laryngeal nerve, which is a branch of the vagus nerve that supplies motor function to the intrinsic muscles of the larynx, except for the cricothyroid muscle. This nerve plays a crucial role in controlling vocal fold movement and swallowing.

Injuries to this nerve can result in voice changes, hoarseness, or even complete loss of voice, depending on the severity and location of the injury. Additionally, it may also lead to breathing difficulties, coughing, and choking while swallowing due to impaired laryngeal function.

Recurrent laryngeal nerve injuries can occur due to various reasons, such as surgical complications (particularly during thyroid or neck surgeries), tumors, infections, inflammation, or direct trauma to the neck region. In some cases, these injuries may be temporary and resolve on their own or through appropriate treatment; however, severe or prolonged injuries might require medical intervention, including possible surgical repair.

Subacute thyroiditis, also known as de Quervain's thyroiditis or granulomatous thyroiditis, is a inflammatory disorder of the thyroid gland. It is characterized by the presence of granulomas, which are collections of immune cells, within the thyroid tissue. The condition often follows an upper respiratory infection and is more common in women than men.

Subacute thyroiditis typically presents with pain and tenderness in the front of the neck, along with systemic symptoms such as fatigue, weakness, and low-grade fever. The disorder can cause hyperthyroidism (overactive thyroid) initially, followed by hypothyroidism (underactive thyroid) as the gland becomes damaged and inflamed. In some cases, the thyroid function may return to normal on its own after several months. Treatment typically involves anti-inflammatory medications to reduce pain and inflammation, and beta blockers to manage symptoms of hyperthyroidism.

Iodine compounds refer to chemical substances that contain iodine, a halogen element, combined with other elements or radicals. Iodine is commonly found in organic compounds such as iodides, iodates, and iodines, which are widely used in various applications, including medicine, agriculture, and industry.

In the medical context, iodine compounds are often used for their antiseptic and disinfectant properties. For example, tincture of iodine is a solution of iodine and potassium iodide in ethanol or water that is commonly used as a topical antimicrobial agent to prevent infection in minor cuts, wounds, and burns.

Iodine compounds are also essential for the production of thyroid hormones, which regulate metabolism, growth, and development in the human body. Iodine deficiency can lead to thyroid disorders such as goiter and mental retardation in children. Therefore, iodine is often added to table salt and other foods as a dietary supplement to prevent iodine deficiency disorders.

Adenocarcinoma, follicular is a type of cancer that develops in the follicular cells of the thyroid gland. The thyroid gland is a butterfly-shaped endocrine gland located in the neck that produces hormones responsible for regulating various bodily functions such as metabolism and growth.

Follicular adenocarcinoma arises from the follicular cells, which are responsible for producing thyroid hormones. This type of cancer is typically slow-growing and may not cause any symptoms in its early stages. However, as it progresses, it can lead to a variety of symptoms such as a lump or nodule in the neck, difficulty swallowing, hoarseness, or pain in the neck or throat.

Follicular adenocarcinoma is usually treated with surgical removal of the thyroid gland (thyroidectomy), followed by radioactive iodine therapy to destroy any remaining cancer cells. In some cases, additional treatments such as radiation therapy or chemotherapy may be necessary. The prognosis for follicular adenocarcinoma is generally good, with a five-year survival rate of around 90%. However, this can vary depending on the stage and aggressiveness of the cancer at the time of diagnosis.

Triiodothyronine (T3) is a thyroid hormone, specifically the active form of thyroid hormone, that plays a critical role in the regulation of metabolism, growth, and development in the human body. It is produced by the thyroid gland through the iodination and coupling of the amino acid tyrosine with three atoms of iodine. T3 is more potent than its precursor, thyroxine (T4), which has four iodine atoms, as T3 binds more strongly to thyroid hormone receptors and accelerates metabolic processes at the cellular level.

In circulation, about 80% of T3 is bound to plasma proteins, while the remaining 20% is unbound or free, allowing it to enter cells and exert its biological effects. The primary functions of T3 include increasing the rate of metabolic reactions, promoting protein synthesis, enhancing sensitivity to catecholamines (e.g., adrenaline), and supporting normal brain development during fetal growth and early infancy. Imbalances in T3 levels can lead to various medical conditions, such as hypothyroidism or hyperthyroidism, which may require clinical intervention and management.

Iodides are chemical compounds that contain iodine in the form of an iodide ion (I-). Iodide ions are negatively charged ions that consist of one iodine atom and an extra electron. Iodides are commonly found in dietary supplements and medications, and they are often used to treat or prevent iodine deficiency. They can also be used as expectorants to help thin and loosen mucus in the respiratory tract. Examples of iodides include potassium iodide (KI) and sodium iodide (NaI).

Iodide peroxidase, also known as iodide:hydrogen peroxide oxidoreductase, is an enzyme that belongs to the family of oxidoreductases. Specifically, it is a peroxidase that uses iodide as its physiological reducing substrate. This enzyme catalyzes the oxidation of iodide by hydrogen peroxide to produce iodine, which plays a crucial role in thyroid hormone biosynthesis.

The systematic name for this enzyme is iodide:hydrogen-peroxide oxidoreductase (iodinating). It is most commonly found in the thyroid gland, where it helps to produce and regulate thyroid hormones by facilitating the iodination of tyrosine residues on thyroglobulin, a protein produced by the thyroid gland.

Iodide peroxidase requires a heme cofactor for its enzymatic activity, which is responsible for the oxidation-reduction reactions it catalyzes. The enzyme's ability to iodinate tyrosine residues on thyroglobulin is essential for the production of triiodothyronine (T3) and thyroxine (T4), two critical hormones that regulate metabolism, growth, and development in mammals.

Carcinoma, papillary is a type of cancer that begins in the cells that line the glandular structures or the lining of organs. In a papillary carcinoma, the cancerous cells grow and form small finger-like projections, called papillae, within the tumor. This type of cancer most commonly occurs in the thyroid gland, but can also be found in other organs such as the lung, breast, and kidney. Papillary carcinoma of the thyroid gland is usually slow-growing and has a good prognosis, especially when it is diagnosed at an early stage.

Tracheal stenosis is a medical condition characterized by the abnormal narrowing of the trachea (windpipe), which can lead to difficulty breathing. This narrowing can be caused by various factors such as inflammation, scarring, or the growth of abnormal tissue in the airway. Symptoms may include wheezing, coughing, shortness of breath, and chest discomfort, particularly during physical activity. Treatment options for tracheal stenosis depend on the severity and underlying cause of the condition and may include medications, bronchodilators, corticosteroids, or surgical interventions such as laser surgery, stent placement, or tracheal reconstruction.

Prevalence, in medical terms, refers to the total number of people in a given population who have a particular disease or condition at a specific point in time, or over a specified period. It is typically expressed as a percentage or a ratio of the number of cases to the size of the population. Prevalence differs from incidence, which measures the number of new cases that develop during a certain period.

Methimazole is an anti-thyroid medication that is primarily used to treat hyperthyroidism, a condition in which the thyroid gland produces excessive amounts of thyroid hormones. It works by inhibiting the enzyme thyroperoxidase, which is essential for the production of thyroid hormones. By blocking this enzyme, methimazole reduces the amount of thyroid hormones produced by the thyroid gland, helping to restore normal thyroid function.

Methimazole is available in oral tablet form and is typically taken two to three times a day. Common side effects of methimazole include nausea, vomiting, skin rashes, and joint pain. In rare cases, it can cause more serious side effects such as liver damage or agranulocytosis (a severe decrease in white blood cell count).

It is important to note that methimazole should only be used under the close supervision of a healthcare provider, as regular monitoring of thyroid function and potential side effects is necessary. Additionally, it may take several weeks or months of treatment with methimazole before thyroid function returns to normal.

Guaiacol is not a medical term per se, but it is a chemical compound with potential applications in the medical field. Here's a general definition:

Guaiacol (also known as 2-methoxyphenol) is an organic compound that belongs to the class of phenols. It is a colorless or slightly yellow oily liquid with a characteristic smoky odor, and it is soluble in alcohol and ether but only sparingly soluble in water. Guaiacol occurs naturally in the smoke of wood fires and is also found in certain plants, such as guaiacum and creosote bush. It has antimicrobial properties and is used in some medical and industrial applications, including as a precursor for the synthesis of other chemicals.

Papillary and follicular carcinomas are both types of differentiated thyroid cancer. They are called "differentiated" because the cells still have some features of normal thyroid cells. These cancers tend to grow slowly and usually have a good prognosis, especially if they are treated early.

Papillary carcinoma is the most common type of thyroid cancer, accounting for about 80% of all cases. It tends to grow in finger-like projections called papillae, which give the tumor its name. Papillary carcinoma often spreads to nearby lymph nodes, but it is usually still treatable and curable.

Follicular carcinoma is less common than papillary carcinoma, accounting for about 10-15% of all thyroid cancers. It tends to grow in round clusters called follicles, which give the tumor its name. Follicular carcinoma is more likely to spread to distant parts of the body, such as the lungs or bones, than papillary carcinoma. However, it is still usually treatable and curable if it is caught early.

It's important to note that while these cancers are called "papillary" and "follicular," they are not the same as benign (non-cancerous) tumors called papillomas or follicular adenomas, which do not have the potential to spread or become life-threatening.

I'm sorry for any confusion, but "geological phenomena" is not a term typically used in medical definitions. Geological phenomena refer to natural processes and features related to the earth's physical structure, composition, and the various changes it undergoes over time. This could include things like volcanic eruptions, earthquakes, rock formations, or the formation of fossil fuels. If you have a term that you would like me to provide a medical definition for, I'd be happy to help!

Immunoglobulins, Thyroid-Stimulating (TSI), are autoantibodies that bind to the thyroid-stimulating hormone receptor (TSHR) on the surface of thyroid cells. These antibodies mimic the action of TSH and stimulate the growth and function of the thyroid gland, leading to excessive production of thyroid hormones. This results in a condition known as Graves' disease, which is characterized by hyperthyroidism, goiter, and sometimes ophthalmopathy (eye problems). The presence and titer of TSIs are used in the diagnosis of Graves' disease.

Balkan nephropathy is a type of chronic tubulointerstitial kidney disease that is named after the Balkan region in southeastern Europe where it is most commonly found. It is characterized by progressive scarring and damage to the renal tubules and interstitium, which can lead to decreased kidney function and eventually end-stage renal disease.

The exact cause of Balkan nephropathy is not fully understood, but it is believed to be related to environmental factors such as exposure to aristolochic acid, a toxin found in certain plants that are native to the region. Other possible contributing factors may include genetic susceptibility and infection with certain viruses or bacteria.

Symptoms of Balkan nephropathy can include proteinuria (protein in the urine), hematuria (blood in the urine), hypertension (high blood pressure), and decreased kidney function. Diagnosis is typically made based on a combination of clinical symptoms, laboratory tests, and imaging studies such as ultrasound or CT scan. Treatment may include medications to manage high blood pressure and proteinuria, as well as supportive care to address any complications that arise from decreased kidney function. In severe cases, dialysis or kidney transplantation may be necessary.

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Felig, Philip; Frohman, Lawrence A. (2001). "Endemic Goiter". Endocrinology & metabolism. McGraw-Hill Professional. ISBN 978-0- ... The mammary gland actively concentrates iodine into milk for the benefit of the developing infant, and may develop a goiter- ... Some researchers have found an epidemiologic correlation between iodine deficiency, iodine-deficient goitre, and gastric cancer ... "Self-reported goiter is associated with a significantly increased risk of gastric noncardia adenocarcinoma in a large ...
Goiter is said to be endemic when the prevalence in a population is > 5%, and in most cases goiter can be treated with iodine ... It may result in metabolic problems such as goiter, sometimes as an endemic goiter as well as congenital iodine deficiency ... Felig, Philip; Frohman, Lawrence A. (2001). "Endemic Goiter". Endocrinology & metabolism. McGraw-Hill Professional. ISBN 978-0- ... Before 1950 goiter was a widespread disease caused by iodine deficiency. Up to 80 per cent of the population were affected in ...
Felig P, Frohman LA (2001). "Endemic Goiter". Endocrinology & metabolism. McGraw-Hill Professional. ISBN 978-0-07-022001-0. " ... goitre, mental slowing, depression, weight gain, and low basal body temperatures. Iodine deficiency is the leading cause of ... causing the disease known as simple goitre. The major form of thyroid hormone in the blood is thyroxine (T4), which has a ...
Ramalingaswami, V. (1973). "Endemic goiter in Southeast Asia. New clothes on an old body". Annals of Internal Medicine. 78 (2 ... Ramalingaswami, V.; Subramanian, T. A.; Deo, M. G. (1961). "The aetiology of Himalayan endemic goitre". Lancet. 1 (7181): 791- ...
"Endemic Goitre: Why the Apathy? Review of National Goitre Control Programme". Economic and Political Weekly. 21 (25/26): 1121- ... V. Ramalingaswami; T. A. V. Subramanian; M. G. Deo; M. B. Agra (April 1961). "The Aetiology of Himalayan Endemic Goitre". The ... Sooch SS, Deo MG, Karmarkar MG, Kochupillai N, Ramachandran K, Ramalingaswami V (1973). "Prevention of endemic goitre with ... Sooch SS, Deo MG, Karmarkar MG, Kochupillai N, Ramachandran K, Ramalingaswami V (1973). "Prevention of endemic goitre with ...
Endemic goitre Struma ovarii-a kind of teratoma Thyroid hormone receptor Wikimedia Commons has media related to Goiters. Look ... A goitre, or goiter, is a swelling in the neck resulting from an enlarged thyroid gland. A goitre can be associated with a ... the severity of goitre is currently graded as grade 0, grade 1, grade 2. Goitre Class II, WHO grade 2 Goitre Class III, WHO ... A goitre can present as a palpable or visible enlargement of the thyroid gland at the base of the neck. A goitre, if associated ...
De Maeyer, Lowenstein, Thilly (1979). The Control of Endemic Goitre. Geneva, Switzerland: WORLD HEALTH ORGANIZATION. pp. 9-10. ... and the endemic goiter caused by iodine deficiency. However, this disease was less mentioned in medical books because it was ... the prevalence of endemic goitre diminished. This is supported by a 1979 WHO publication which concluded that "changes in the ... A goiter is the most specific clinical marker of either the direct or indirect insufficient intake of iodine in the human body ...
However, due to lack of salt, they suffer endemic goiter. Many are either born deaf or mute. Their population declined until ...
and Rashford, V., 1983, The Role of Cassava in Endemic Goitre in Sarawak, Malaysia, Current Problems in Thyroid Research, In : ... and Eastman, CJ., 1979, Endemic Goitre in Sarawak, Malaysia II, In - Current Thyroid Problems in Southeast Asia & Oceania, Eds ... and Maberly, GF.,1987, Endemic Goitre in Central China caused by Excessive Iodine Intake, Lancet 2:257-259. Collins, JK,. Jupp ... and Eastman, CJ., 1988, Further Studies of Endemic Goitre In Central China Caused By Excess Iodine Intake, Life Sciences: ...
February 1993). "Thyroglobulin gene point mutation associated with non-endemic simple goitre". Lancet. 341 (8843): 462-464. doi ...
He worked on endemic goiter and mental retardation in New Guinea. Rosalyn Yalow and Solomon Berson received the Nobel Prize in ...
Hedayat also managed research projects on Favism and Endemic Goiter in Iran.[citation needed] Hedayat's pioneering work in ...
Deficiency also causes thyroid gland problems, including endemic goitre. In many countries, iodine deficiency is a major public ... Endemic Goiter, Iodized Salt, and David Murray Cowie MD". American Journal of Public Health. 77 (2): 219-229. doi:10.2105/AJPH. ... Prevalence of goiter in Iran dropped dramatically. The national survey in 1996 reported 40% of boys and 50% of girls have ... In the U.S. in the early 20th century, goitres were especially prevalent in the region around the Great Lakes and the Pacific ...
Trikojus, V. M. (11 December 1974). "Some observations of endemic goitre in Tasmania and Southern Queensland". The New Zealand ...
In these areas there is a high incidence of endemic goitre. This cause of deafness is prevented by adding iodine to salt. Brain ... Iodine deficiency and endemic hypothyroidism are associated with hearing loss. If a pregnant mother has insufficient iodine ...
He studied the development of the vertebral column in bony fishes and also endemic goiter. His studies on bees, myriapods and ... In a classic experiment, he dispatched 112 volunteers to the Capaccio plains, a malaria-endemic area, protected them from ... Endemic malaria returned to Italy during and after the First World War and Grassi resumed his mosquito studies. He died in Rome ...
India has 500 million people with a deficiency, 54 million with goiter, and 2 million with congenital iodine deficiency. Among ... is the leading preventable cause of intellectual disability in areas of the developing world where iodine deficiency is endemic ... Iodine deficiency also causes goiter, an enlargement of the thyroid gland. More common than full-fledged congenital iodine ...
McCarrison, R.; Newcomb, C.; Viswanath, B.; Norris, R.V. (1927). "The Relation of Endemic Goitre to the Iodine-Content of Soil ...
He did major research in endomyocardial fibrosis, endemic goitre, sickle-cell disease and other areas of national need. ... Nwokolo, C. (1974). "Endemic paragonimiasis in Africa - PMC". Bulletin of the World Health Organization. 50 (6): 569-571. PMC ... Nwokolo C (1974). "Endemic paragonimiasis in Africa". Bull. World Health Organ. Bulletin: World Health Organization. 50 (6): ... Nwokolo C (June 1972). "Endemic paragonimiasis in Eastern Nigeria. Clinical features and epidemiology of the recent outbreak ...
... from endemic goiter to thyroid autoimmunity". Hormones. 6 (1): 25-35. PMID 17324915. Yu X, Li L, Li Q, Zang X, Liu Z (November ... Patients with goiters who have had autoimmune thyroiditis for many years might see their goiter shrink in the later stages of ... Early stages of autoimmune thyroiditis may have a normal physical exam with or without a goiter. A goiter is a diffuse, often ... On gross examination, a hard goiter that is not painful to the touch often presents; other symptoms seen with hypothyroidism, ...
Others: Lathyrism, endemic fluorosis etc. Child malnutrition in Bangladesh is amongst the highest in the world. Two-thirds of ... Xerophthalmia: The chief cause is nutritional deficiency of Vit-A. Iodine Deficiency Disorders: Goiter and other iodine ...
Iodine deficiency causes endemic goitre and cretinism as well as stunting of mental and physical development. Globally, 1.6 ... and the over-consumption of foodstuffs causing goitre, particularly bitter cassava, which is a staple in Central Africa. ...
In some regions, he found a prevalence of endemic goitre in women as high as 80% and cretinism (due to congenital iodine ... His research into iodine deficiency and endemic goitre led to the introduction of iodised salt in Slovakia. Podoba was born in ... When Podoba returned to Slovakia, he carried out research into endemic goitre based similar field studies conducted by Šilink ... As a result, the incidence of endemic goitre declined significantly and cretinism disappeared completely in children. Podoba ...
... p.141 The Genetic Factor in Endemic Goiter, In Proceedings of the Mexico Conference on the Uses of Radioisotopes in Animal ... Campos likewise pursued research on whether there was a genetic factor that contributed to endemic goiter. His findings, as ... His team first suggested the injection of iodized oil (see poppyseed oil) to goiter patients, a treatment later advocated by ... and it was there that Campos conducted testing on the use of iodized oil for the treatment of goiter. Campos also founded a ...
Her doctoral thesis showed that the incidence of endemic goitre in the Alpujarras region was closely linked to iodine ... congenital hypothyroidism in Spain and her research led to the introduction of iodised salt in Spain to prevent endemic goitre ...
His studies of goiter in Swiss endemic regions brought him into sharp disagreement with Eugen Bircher over the theory[whose?]- ... today widely confirmed-that endemic goitres are caused by iodine deficiency in water and food, in opposition to the ...
Roy McClure began adding iodine to kitchen salt to prevent the development of endemic goiters. Eventually salt for human use ...
Howard Markel "When it rains it pours": endemic goiter, iodized salt, and David Murray Cowie, MD.Am J Public Health. 1987 ... 1987) When It Rains It Pours: Endemic Goiter, Iodized Salt, and David Murray Cowie MD. American Journal of Public Health, vol. ... Cowie was concerned about the widespread problem of goiter in Michigan (nicknamed the "goiter belt" of America). Cowie was born ... Goiter began receiving serious attention as a result of the World War I draft pointing to the problem in Northern Michigan and ...
ISBN 3-13-466301-5 Thyroglobulin and Thyroglobulin Antibodies in the Follow-up of Thyroid Cancer and Endemic Goiter. Thieme ...
... are known for higher incidence of goitre. In such areas goitre is said to be "endemic".[citation needed] This type of goitre is ... Endemic goitre is a type of goitre that is associated with dietary iodine deficiency. Some inland areas, where soil and water ... "Endemic Goiter (Medical condition)". Encyclopedia of Britannica. Retrieved 24 September 2013. BA, Lamberg (1991). "Endemic ... Treatment of endemic goitre is medical with iodine and thyroxine preparations. Surgery is only necessary in cases where ...
... Cite CITE. Title : Endemic goiter in Latin America Personal Author(s) : Scrimshaw, Nevin S. ... Scrimshaw, Nevin S. "Endemic goiter in Latin America" 75, no. 8 (1960). Scrimshaw, Nevin S. "Endemic goiter in Latin America" ... Scrimshaw, Nevin S. "Endemic goiter in Latin America" 69, no. 3 (1954). Scrimshaw, Nevin S. "Endemic goiter in Latin America" ... Includes frontispience: Endemic goiter has been the focus of surveys throughout Latin America (see paper on pp. 731.737). Here ...
Endemic goiter : report of the meeting of the PAHO Scientific Group on Research in Endemic Goiter held in Puebla, Mexico, 27 to ... Endemic goiter and endemic cretinism : iodine nutrition in health and disease / edited by John B. Stanbury, Basil S. Hetzel. by ... Endemic goitre / contributors, F. W. Clements ... [et al.] by Clements, F. W , Moerloose, J. de , Smet, M. P. de , Holman, J. C ... Endemic goitre : legislation on iodine prophylaxis. by World Health Organization.. Material type: Text; Format: print ...
A simple goiter is an enlargement of the thyroid gland. It is usually not a tumor or cancer. ... A simple goiter is an enlargement of the thyroid gland. It is usually not a tumor or cancer. ... So, a goiter can be a sign the thyroid is not able to make enough thyroid hormone. The use of iodized salt in the United States ... Goiter. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. ...
Endemic goitre and excessive iodine in urine and drinking water among Saharawi refugee children. Henjum, Sigrun; Barikmo, ... The children are suffering from endemic goitre and high UIC caused probably by an excessive intake of iodine. The excessive ...
"Endemic Goiter". Endocrinology & metabolism. McGraw-Hill Professional. ISBN 978-0-07-022001-0. .. ... goitre, mental slowing, depression, weight gain, and low basal body temperatures.[128] Iodine deficiency is the leading cause ... causing the disease known as simple goitre. The major form of thyroid hormone in the blood is thyroxine (T4), which has a ...
History of goitre. In: Endemic goitre. Geneva, Switzerland: World Health Organization, 1960:9-25 (WHO Monograph Series No. 44). ... During 1922-1927, with the implementation of a statewide prevention program, the goiter rate in Michigan fell from 38.6% to 9.0 ... iodine was added to salt to prevent goiter. The 1921-1929 Maternal and Infancy Act enabled state health departments to employ ... their roles in disease prevention has been instrumental in almost eliminating nutritional deficiency diseases such as goiter, ...
Iodine: If it is practical, treat endemic goiters in iodine-deficient regions with iodine supplementation in the diet and ... Malignant goiters require medical and surgical treatment.. * The size of a benign euthyroid goiter may be reduced with ... Nutrition plays a role in the development of endemic goiters. Dietary factors include iodine deficiency, goitrogens, protein ... A study by Bove et al indicated that in patients with retrosternal goiter, recurrence and extension of the goiter beyond the ...
Merke, F. History of endemic cretinism. In History and Iconography of Endemic Goiter and Cretinism; Merke, F., Ed.; Hans Huber ... Markel, H. When it rains it pours": Endemic goiter, iodized salt, and David Murray Cowie, MD. Am. J. Public Health 1987, 77, ... Although a bill by the U.S. Endemic Goiter Committee in 1948 proposing the mandatory introduction of iodized salt in all states ... was the first to publish the hypothesis of population iodine deficiency associated with endemic goiter [3]. This was confirmed ...
It is highly endemic in iodine-deficient areas; MNG can be seen in almost all individuals with severe iodine-deficient areas. ... It can also present with symptoms of hyperthyroidism particularly in long-standing goiter. Imaging particularly ultrasound is ... Multinodular goiter (MNG) is the most common disorder of the thyroid gland. ... Multinodular goiter (MNG) is the most common disorder of the thyroid gland. It is highly endemic in iodine-deficient areas; MNG ...
Perez, C., Scrimshaw, N.S., and Munoz, J.A., Technique of endemic goitre surveys. In endemic Goitre; p. 369, see esp. p. 376, ... Perez, C., Scrimshaw, N.S., and Munoz, J.A., Technique of endemic goitre surveys. In endemic Goitre; p. 369, see esp. p. 376, ... Grade 3: Persons with very large goiters. The goiters of persons in this category can be recognized at a considerable distance ... Group 2: Persons with visible goiters. Persons with goiters which are easily visible with the head in normal position, but ...
Seffner, W. (1995) Natural Water Contents and Endemic Goiter. International Journal of Hygiene and Environmental Medicine, 196 ...
Categories: Goiter, Endemic Image Types: Photo, Illustrations, Video, Color, Black&White, PublicDomain, CopyrightRestricted 9 ...
Hyperthyroidism with small diffuse or nodular goiter, small u... ... Endemic goiter. It is a regional environmental form in which ... Goiter appears in endemic regions without differentiating in its attack on one sex or another, although sometimes a ratio of ... Goiter is a benign enlargement of the thyroid.. *Family goiter. It comprises an inherited enzyme defect, usually by an ... Toxic multinodular goiter. It is usually overadded to long-standing non-toxic multinodular goiter. Nodules are composed of ...
Endemic goiter in Latin America Cite CITE. Title : Endemic goiter in Latin America Personal Author(s) : Scrimshaw, Nevin S. ... Scrimshaw, Nevin S. "Endemic goiter in Latin America" 75, no. 8 (1960). Scrimshaw, Nevin S. "Endemic goiter in Latin America" ... Includes frontispience: Endemic goiter has been the focus of surveys throughout Latin America (see paper on pp. 731.737). Here ... Scrimshaw, Nevin S. (1960). Endemic goiter in Latin America. 75(8). ...
Fine needle aspiration cytodiagnosis of subacute (de Quervains) thyroiditis in an endemic goitre area. Cytopathology. 1994 Feb ... presence of thyroid autoantibody and absence of goiter to repeated recurrence. Endocr J. 2009. 56(3):391-7. [QxMD MEDLINE Link] ...
Title: Report on the results of the national representative survey on endemic goiter and iodine status in Bulgaria -2003.. ... Report on the results of the national representative survey on endemic goiter and iodine status in Bulgaria -2003. Sofia, ...
The correction of iodine deficiency was followed by the elimination of endemic colloid goiter and the emergence of thyroid ... for the endemic nodular goiter with the characteristic colloid thyroid nodules among the inhabitants in iodine deficient areas ... In the past, iodine deficiency was the main cause of endemic goiter in iodine deficient areas of the world. In response to ... The correction of iodine deficiency was followed by the elimination of endemic colloid goiter and the emergence of thyroid ...
Re: Treating an old endemic goiter (nodules), stil... by Whispering Wind 12 years ago 2,326 ... Re: Treating an old endemic goiter (nodules), stil... by Whispering Wind 12 years ago 2,506 ...
... deficiency and iodine excess have severe consequences on human health and have been associated with the presence of goiter, ... "Current status of endemic goiter and salt iodization in Colombia," in Towards the Eradication of Endemic Goiter, Cretinism and ... J. T. Dunn, "Towards the eradication of endemic goiter, cretinism, and iodine deficiency," in Proceedings of the V Meeting of ... R. MacLennan and E. Gaitán, "Measurement of thyroid size in epidemiologic surveys," in Endemic Goiter and Cretinism: Continuing ...
Endemic goiter in Finland and changes during 30 years of iodine prophylaxis. Endocrinol Exp. 1986; 20(1): 35-47. ... The database on iodine deficiency includes data by country on goitre prevalence and/or urinary iodine concentration. World ... The database on iodine deficiency includes data by country on goitre prevalence and/or urinary iodine concentration. World ...
Correa Filho HR, Vieira JB, Silva YS, Coelho GE, Cavalcante F dos A, Pereira M da P: Endemic goiter prevalence survey in ... Endemic goiter has been described in Brazil since the 16th Century [30-33]. Since the early 1940s, salt supplementation with ... Freire-Maia DV: Sex and age prevalence of endemic epidemiological study. J Hyg Epidemiol Microbiol Immunol. 1981, 25: 401-406. ... iodine has been mandatory in endemic areas, and only since 1997 has Brazil been considered a country with adequate iodine ...
Peripheral Metabolism of Thyroxine and Triiodothyronine in Endemic Goitre Peripherer Stoffwechsel des Thyroxins und des ...
Follicular thyroid carcinoma in an iodine-replete endemic goiter region: a prospectively collected, retrospectively analyzed ... The relative incidence of follicular carcinoma is higher in areas of endemic goiter. ... and rates of FTC decreased in geographic areas of endemic goiter after iodized salt was introduced. ... Surgical specimen of a large goiter. Total thyroidectomy was performed because of the presence of a solid nodule in the right ...
Selenium (Se) deficiency is said to contribute to the atrophy of the thyroid gland in certain endemic goiter areas in Africa. ... Selenium (Se) deficiency is said to contribute to the atrophy of the thyroid gland in certain endemic goiter areas in Africa. ... deficiency is said to contribute to the atrophy of the thyroid gland in certain endemic goiter areas in Africa. To test the ... Thus, the Se status had no impact on the development of goiter.,/p,}}, author = {{Ericsson, U B and Erfurth, E M and Schütz, A ...
A field survey of iodine supplementation of primary school children and their parents in a rural village in the endemic area of ... and only 18 parents could describe endemic goiter in detail (the others described it incorrectly as toxic goiter). All 18 ... However a high prevalence of endemic goiter persists, estimated as up to 30% in northeastern Thailand by a previous study2. ... Suwanik R, Nondasuta A, Nondasuta A. Field studies of iodine metabolism in an endemic goiter village, Phrae Thailand. Journal ...
Almost one hundred years ago, the US instituted a salt iodine fortification program in order to rectify a goiter endemic ...

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