Endemic Goiter - an update

Broken heart syndrome triggered by an obstructive goiter not associated with thyrotoxicosis

“…The etiology of her goiter was likely endemic iodine deficiency given that she lived over 50 years in an endemic area. Endemic goiters tend to be multinodular, 14 and once established, they tend not to regress even in the presence of iodine supplementation, such as emigration to a region replete with iodine, as was the case of our patient. 15 Our patient resided in Canada for 16 years and did not have a family physician.…”

Endemic goitre in the Sudan despite long-standing programmes for the control of iodine deficiency disorders

“…In areas where iodine intake is low, hypothyroidism, 31 different degrees of intellectual impairment and even cretinism can sometimes affect a significant proportion of people, even if mean serum T4, T3 and TSH levels are within normal ranges. 32 In conclusion, despite the fact that IDD control programmes were initiated in the Sudan more than 25 years ago, IDDs continue to be an important public health problem in the country. Although imported iodized salt is commercially available, no data on its consumption exist.…”

Urinary Iodine Excretion among Nepalese School Children in Terai Region

“…Iodized salt is considered the best vehicle for providing iodine nutrition in countries like Nepal where foods lack adequate iodine. Frequent flooding in Terai regions, takes away the top soil, making the soils, and the food produced on them iodine deficient [8].…”