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Goitre

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Goiter, resulting primarily from iodine deficiency, has historically been a widespread condition with significant health and social implications. Advances in nutrition and public health have greatly reduced its prevalence, but understanding its historical context helps in appreciating the development
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In various regions around the world, particularly in mountainous areas, the prevalence of goiter was linked to iodine deficiency in the diet. For example, the Alps, the Himalayas, and the Andes had high rates of goiter due to the iodine-poor soil. In these regions, iodine deficiency led to widespread
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The discovery of iodine's importance in thyroid function and its role in preventing goiter marked a significant medical breakthrough. The introduction of iodized salt in the early 20th century became a key public health initiative, effectively reducing the prevalence of goiter in previously affected
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In some historical contexts, goiters were so prevalent that they became normalized within the culture. For instance, in certain Alpine regions, large goiters were sometimes considered a sign of beauty. Conversely, in other areas, individuals with goiters faced social stigma, which could lead to
923:(618–907) were the first to successfully treat patients with goitre by using the iodine-rich thyroid gland of animals such as sheep and pigs—in raw, pill, or powdered form. This was outlined in Zhen Quan's (d. 643 AD) book, as well as several others. One Chinese book, 1414:
Abraham-Nordling M, Törring O, Hamberger B, Lundell G, Tallstedt L, Calissendorff J, Wallin G (November 2005). "Graves' disease: a long-term quality-of-life follow up of patients randomized to treatment with antithyroid drugs, radioiodine, or surgery".
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also independently reported the same constellation of symptoms in 1840, while earlier reports of the disease were also published by the Italians Giuseppe Flajani and Antonio Giuseppe Testa, in 1802 and 1810 respectively, and by the English physician
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A goitre may be classified either as nodular or diffuse. Nodular goitres are either of one nodule (uninodular) or of multiple nodules (multinodular). Multinodular goiter (MNG) is the most common disorder of the thyroid gland.
876:. Before iodine enrichment programs, goiters were common in areas with repeated flooding or glacial activities, which erodes the topsoil. It is endemic in populations where the intake of iodine is less than 10 ÎĽg per day. 679:. These nodules grow up at varying rates and secrete thyroid hormone autonomously, thereby suppressing TSH-dependent growth and function in the rest of gland. Inactive nodules in the same goitre can be malignant. 1480:
Bukvic BR, Zivaljevic VR, Sipetic SB, Diklic AD, Tausanovic KM, Paunovic IR (August 2014). "Improvement of quality of life in patients with benign goiter after surgical treatment".
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Gandolfi PP, Frisina A, Raffa M, Renda F, Rocchetti O, Ruggeri C, Tombolini A (August 2004). "The incidence of thyroid carcinoma in multinodular goiter: retrospective analysis".
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Remission with treatment, but still lower quality of life for 14 to 21 years after treatment, with lower mood and lower vitality, regardless of the choice of treatment
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Goitre is more common among women, but this includes the many types of goitre caused by autoimmune problems, and not only those caused by simple lack of iodine.
2610: 2653: 2515: 895: 2699: 2620: 2217: 1724: 1464: 1312: 900: 183:, an increase in oxygen consumption, metabolic changes in protein metabolism, immunologic stimulation of diffuse goitre, and ocular changes ( 2256: 2296:"Plagues and Peoples - William H. McNeill: Plagues and Peoples. (Garden City, New York: Anchor Press, Doubleday, 1976. Pp. 369. $ 10.00.)" 2207: 883:, etc. As reported in 1923, all the domestic animals have goiter in some of the glacial valleys of Southern Alaska. It was so severe in 206:
According to the WHO classification of goitre by palpation, the severity of goitre is currently graded as grade 0, grade 1, grade 2.
2675: 2120: 1859: 1244: 2778: 977:(1493–1541) was the first person to propose a relationship between goitre and minerals (particularly lead) in drinking water. 1339: 147:, may be present with symptoms of the underlying disorder. For hyperthyroidism, the most common symptoms are associated with 1404:
By Roy E Weiss and Samuel Refetoff. Last literature review version 19.1: January 2011. This topic last updated: July 2, 2009
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Babademez MA, Tuncay KS, Zaim M, Acar B, KaraĹźen RM (November 2010). "Hashimoto thyroiditis and thyroid gland anomalies".
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Goitre had been prevalent in the alpine countries for a long time. Switzerland reduced the condition by introducing
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Examples of such regions include the alpine regions of Southern Europe (such as Switzerland), the Himalayans, the
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regions. This measure was one of the earliest and most successful examples of mass preventive health campaigns.
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Goitre as a determinant of the prevalence and severity of iodine deficiency disorders in populations
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was used to treat goitre patients by the 1st century BC, but this book was written much later.
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Multinodular goitre: multiple nodules; can likewise be inactive or toxic, the latter is called
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Class III: the goitre is very large and is retrosternal (partially or totally lying below the
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In the 1920s wearing bottles of iodine around the neck was believed to prevent goitre.
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Class I: the goitre in normal posture of the head cannot be seen; it is only found by
2868: 2670: 2562: 2023: 1167: 1118: 1001: 968: 758: 726: 668:; can be either inactive, or active (toxic) – autonomously producing thyroid hormone. 77: 1626: 1509: 2585: 1641:"Toxic multinodular goitre - Symptoms, diagnosis and treatment | BMJ Best Practice" 1328: 1278:(3rd ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins. 1152: 1044: 1033: 1025: 947: 920: 502: 245: 200: 192: 184: 168: 156: 124: 17: 160: 2446: 2356: 1920: 1704: 1377: 2755: 2476: 1716: 1640: 1575: 1009: 988:
Goitre was previously common in many areas that were deficient in iodine in the
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after noting the association of goitre and a displacement of the eye known as
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Increased size of thyroid may be permanent if untreated for around five years
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is also considered a contributing factor. In countries that use iodized salt,
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regions. The condition is now practically absent in affluent nations, where
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is identified in 13.7% of the patients operated for multinodular goitre.
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The Genius of China: 3,000 Years of Science, Discovery, and Invention
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showed a man "afflicted with a large goitre", an apparent pun on the
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is given to the patient to shrink the gland. If goitre is caused by
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in which the thyroid gland is gradually destroyed. Infiltration of
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Diffuse goitre: the whole thyroid appearing to be enlarged due to
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Frilling A, Liu C, Weber F (2004). "Benign multinodular goiter".
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A goitre can present as a palpable or visible enlargement of the
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Essentials of pathophysiology: Concepts of altered health states
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and goitres, within two years of each other. The disease caused
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hormonal imbalances, particularly affecting thyroid function.
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Can be hyperthyroidism initially, but progress to hypothyroidism
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conducted substantial research on the treatment of goitre with
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and may undergo weight gain. However, these symptoms are often
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for iodine deficiency per 100,000 inhabitants in 2002.
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are given. If the goitre is associated with an underactive
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Philosophical Transactions of the Royal Society of London
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regions, which appeared in the 19th century, includes a
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Class II: the goitre is palpable and can be easily seen.
2283:. New York and London: Benjamin Blom, Inc. p. 413. 2104:, article by Donald G. McNeil, Jr., December 16, 2006, 2102:"In Raising the World's I.Q., the Secret's in the Salt" 2065:"Kentucky Appalachian Goiter Without Iodine Deficiency" 1237:
SchilddrĂĽsenkrankheiten Leitfaden fĂĽr Praxis und Klinik
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is the most common cause. Goitre can also result from
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The Journal of Clinical Endocrinology & Metabolism
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at the base of the neck. A goitre, if associated with
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Will develop in about 0.5% of males and 3% of females
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that it was difficult to raise young animals there.
2817: 2754: 2687: 2634: 2531: 2467: 2366: 187:). Hypothyroid people commonly have poor appetite, 71: 42: 37: 915:Woman in Miesbacher Tracht wearing a goitre choker 104:Worldwide, over 90% of goitre cases are caused by 1303:Mitchell RS, Kumar V, Abbas AK, Fausto N (2007). 725:Goitre is treated according to the cause. If the 872:Iodine mainly accumulates in the sea and in the 1402:Thyrotropin (TSH)-secreting pituitary adenomas. 1230: 1228: 1117:The coat of arms and crest of Die Kröpfner, of 299:of thyroid to compensate for decreased efficacy 244:, commonly seen in countries that scarcely use 240:Worldwide, the most common cause for goitre is 175:. Clinical manifestations are often related to 2280:The Art of Heraldry: An Encyclopædia of Armory 2134:Dunn, John T.; Delange, Francois (June 2001). 1845: 1843: 1841: 1143:of endocrinology and public health measures. 314:Constitutes over 90% cases of goitre worldwide 2509: 8: 925:The Pharmacopoeia of the Heavenly Husbandman 1711:, Boston, MA: Springer US, pp. 25–31, 1397: 1395: 127:), though they may be potentially harmful. 27:Neck swelling due to enlarged thyroid gland 2684: 2516: 2502: 2494: 2363: 1259:: CS1 maint: location missing publisher ( 266: 51: 34: 2654:Familial dysalbuminemic hyperthyroxinemia 2235:"A White House Puzzle: Immunity Ailments" 1962: 1821: 716:), pressure results in compression marks. 644:in an individual suspected of having it. 2069:American Journal of Diseases of Children 1943:Journal of the Royal Society of Medicine 1307:(8th ed.). Philadelphia: Saunders. 1883:– the history and naming of the disease 1274:Porth CM, Gaspard KJ, Noble KA (2011). 1188: 208: 1252: 436:, almost always by a pituitary adenoma 1574:Feingold, K. R.; et al. (2000). 901:congenital iodine deficiency syndrome 540:of 85% for females and 74% for males 7: 2700:Abadie's sign of exophthalmic goiter 2081:10.1001/archpedi.1977.02120210044010 1134:marginalization and discrimination. 1028:. However, it is still prevalent in 942:, provided the first description of 2184:. Nrc-cnrc.gc.ca. 30 September 2011 1366:The Journal of Craniofacial Surgery 1329:"Toxicological Profile For Cyanide" 765:Medical and scientific developments 2243:Doctors Say Bush Is in Good Health 2063:Hollingsworth, Dorothy R. (1977). 1778:, World Health Organization - 2014 1292:. World Health Organization. 2014. 179:(increased metabolism), excessive 25: 2676:Amiodarone induced thyrotoxicosis 2294:Norling, Bernard (October 1977). 1794:American Journal of Public Health 1790:"The Prevention of Simple Goiter" 1705:"The Iodine Deficiency Disorders" 1345:from the original on 28 July 2004 952:Thesaurus of the Shah of Khwarazm 2350: 2336: 2119:Wissen, Planet (16 March 2017). 1998:Davy, Humphry (1 January 1814). 1893:Ljunggren JG (August 1983). "". 1788:Kimball, O. P. (February 1923). 1482:Langenbeck's Archives of Surgery 1455:GrĂĽnwald F, Biersack HJ (2005). 223: 211: 2233:Altman LK (14 September 1991). 1599:Scandinavian Journal of Surgery 1197:"Thyroid Nodules and Swellings" 2212:. HarperCollins. p. 158. 640:Goitre may be diagnosed via a 419:Prevalence: 1 to 1.5 in a 1000 203:and make diagnosis difficult. 1: 2341:The dictionary definition of 2182:"ARCHIVED – Why take iodine?" 1876:Basedow's syndrome or disease 996:, the condition was known as 783:Disability-adjusted life year 575:Secretional hyperthyroidism, 569:Thyroid hormone insensitivity 457:—also called Basedow syndrome 230:Goitre Class III, WHO grade 2 2209:Women and Autoimmune Disease 1449:Numbers from EUROCARE, from 1378:10.1097/SCS.0b013e3181f43e32 971:) in the late 18th century. 927:, asserted that iodine-rich 463:(TSHR-Ab) that activate the 218:Goitre Class II, WHO grade 2 1717:10.1007/978-1-4899-1245-9_3 1709:Iodine Deficiency in Europe 434:thyroid stimulating hormone 415:Thyroid hormone replacement 97:resulting from an enlarged 2901: 2649:Thyroid hormone resistance 2206:, Yalof I (20 July 2004). 1955:10.1177/014107689809100618 1611:10.1177/145749690409300405 1201:British Thyroid Foundation 1004:, goitre was found in the 985:in 1811 from seaweed ash. 919:Chinese physicians of the 729:is producing an excess of 577:Symptomatic hypothyroidism 276:Resultant thyroid activity 2840:Toxic multinodular goiter 2598:Thyroid dyshormonogenesis 2573:Van Wyk-Grumbach syndrome 2551:Congenital hypothyroidism 2312:10.1017/s0034670500025043 2255:Altman LK (28 May 1991). 1754:World Health Organization 1703:Hetzel, Basil S. (1993), 1494:10.1007/s00423-014-1221-7 1096:were both diagnosed with 673:toxic multinodular goitre 422:Remission with treatment 332:thyroid hormone synthesis 323:Congenital hypothyroidism 264:root as the staple food. 59: 50: 1429:10.1089/thy.2005.15.1279 1177:Thyroid hormone receptor 1125:for the word ("Kropf"). 1026:supplemented with iodine 981:was later discovered by 907:, copper engraving, 1815 285:Incidence and prevalence 169:increased blood pressure 155:(increased heart rate), 2666:Thyrotoxicosis factitia 2568:Euthyroid sick syndrome 1305:Robbins Basic Pathology 960:Karl Adolph von Basedow 664:Uninodular goitre: one 553:Usually hyperthyroidism 391:Hashimoto's thyroiditis 254:Hashimoto's thyroiditis 119:. Most goitres are not 108:. The term is from the 93:, is a swelling in the 2742:Graves' ophthalmopathy 2300:The Review of Politics 2152:10.1210/jcem.86.6.7611 2016:10.1098/rstl.1814.0007 1806:10.2105/ajph.13.2.81-a 1215:"Goitre - NHS Choices" 1088:Former U.S. President 1047:in 1922. The Bavarian 992:. For example, in the 936:Zayn al-Din al-Jurjani 916: 908: 866: 637: 372:Adverse drug reactions 2680:Hyperthyroid myopathy 2607:Hypothyroid myopathy 1576:"Multinodular Goiter" 1554:www.sciencedirect.com 934:In the 12th century, 914: 898: 781: 642:thyroid function test 632: 2835:Toxic nodular goiter 2779:Subacute lymphocytic 2359:at Wikimedia Commons 1937:Hull G (June 1998). 1645:bestpractice.bmj.com 1459:. Berlin: Springer. 1203:. 11 September 2019. 675:and associated with 538:5-year survival rate 2696:Signs and symptoms 2577:Signs and symptoms 2044:on 18 November 2022 2038:"Iodine Deficiency" 1106:cardiac dysrhythmia 1075:Society and culture 965:Caleb Hillier Parry 956:Robert James Graves 863: more than 800 797: fewer than 50 250:Selenium deficiency 18:Multinodular goiter 2875:Endocrine diseases 2735:Pretibial myxedema 2468:External resources 2261:The New York Times 2239:The New York Times 2107:The New York Times 1690:The New York Times 1235:Hörmann R (2005). 1221:. 19 October 2017. 917: 909: 867: 735:radioactive iodine 638: 556:Usually uninodular 529:Usually uninodular 479:Antithyroid agents 432:Hypersecretion of 396:Autoimmune disease 131:Signs and symptoms 2862: 2861: 2750: 2749: 2644:Hyperthyroxinemia 2616:Hoffmann syndrome 2603:Pickardt syndrome 2581:Queen Anne's sign 2541:Iodine deficiency 2491: 2490: 2355:Media related to 2219:978-0-06-008149-2 1850:Temple R (1986). 1726:978-1-4899-1247-3 1686:"Goiter – Simple" 1530:. 19 October 2017 1466:978-3-540-22309-2 1314:978-1-4160-2973-1 1090:George H. W. Bush 940:Persian physician 885:Pemberton Meadows 881:Great Lakes basin 741:, small doses of 739:iodine deficiency 604:Hydatidiform mole 590: 589: 547:thyroid neoplasms 536:Overall relative 501:Acute or chronic 444:Pituitary surgery 428:Pituitary disease 293:Iodine deficiency 258:cyanide poisoning 242:iodine deficiency 106:iodine deficiency 83: 82: 32:Medical condition 16:(Redirected from 2892: 2764:Acute infectious 2710:Dalrymple's sign 2685: 2518: 2511: 2504: 2495: 2364: 2354: 2340: 2324: 2323: 2291: 2285: 2284: 2271: 2265: 2264: 2252: 2246: 2245: 2230: 2224: 2223: 2200: 2194: 2193: 2191: 2189: 2178: 2172: 2171: 2146:(6): 2360–2363. 2131: 2125: 2124: 2116: 2110: 2099: 2093: 2092: 2060: 2054: 2053: 2051: 2049: 2040:. Archived from 2034: 2028: 2027: 1995: 1989: 1983: 1977: 1976: 1966: 1934: 1928: 1921:Giuseppe Flajani 1917: 1911: 1910: 1890: 1884: 1872: 1866: 1865: 1847: 1836: 1835: 1825: 1785: 1779: 1773: 1767: 1764: 1758: 1757: 1751: 1743: 1737: 1736: 1735: 1733: 1700: 1694: 1693: 1682: 1676: 1675: 1655: 1649: 1648: 1637: 1631: 1630: 1594: 1588: 1587: 1571: 1565: 1564: 1562: 1560: 1546: 1540: 1539: 1537: 1535: 1520: 1514: 1513: 1477: 1471: 1470: 1447: 1441: 1440: 1411: 1405: 1399: 1390: 1389: 1361: 1355: 1354: 1352: 1350: 1344: 1333: 1325: 1319: 1318: 1300: 1294: 1293: 1286: 1280: 1279: 1271: 1265: 1264: 1258: 1250: 1232: 1223: 1222: 1211: 1205: 1204: 1193: 994:English Midlands 983:Bernard Courtois 862: 856: 850: 844: 838: 832: 826: 820: 814: 808: 802: 796: 790: 731:thyroid hormones 619:Pendred syndrome 563:Mostly harmless 467:-receptor (TSHR) 267: 227: 215: 189:cold intolerance 173:heat intolerance 55: 35: 21: 2900: 2899: 2895: 2894: 2893: 2891: 2890: 2889: 2885:Thyroid disease 2865: 2864: 2863: 2858: 2813: 2746: 2725:Griffith's sign 2715:Stellwag's sign 2689:Graves' disease 2683: 2636:Hyperthyroidism 2630: 2527: 2525:Thyroid disease 2522: 2492: 2487: 2486: 2463: 2462: 2375: 2333: 2328: 2327: 2293: 2292: 2288: 2273: 2272: 2268: 2254: 2253: 2249: 2232: 2231: 2227: 2220: 2202: 2201: 2197: 2187: 2185: 2180: 2179: 2175: 2133: 2132: 2128: 2121:"Planet Wissen" 2118: 2117: 2113: 2100: 2096: 2062: 2061: 2057: 2047: 2045: 2036: 2035: 2031: 1997: 1996: 1992: 1984: 1980: 1936: 1935: 1931: 1918: 1914: 1901:(32–33): 2902. 1892: 1891: 1887: 1873: 1869: 1862: 1849: 1848: 1839: 1787: 1786: 1782: 1774: 1770: 1765: 1761: 1749: 1745: 1744: 1740: 1731: 1729: 1727: 1702: 1701: 1697: 1684: 1683: 1679: 1660:Acta Bio-Medica 1657: 1656: 1652: 1639: 1638: 1634: 1596: 1595: 1591: 1573: 1572: 1568: 1558: 1556: 1548: 1547: 1543: 1533: 1531: 1522: 1521: 1517: 1479: 1478: 1474: 1467: 1454: 1448: 1444: 1423:(11): 1279–86. 1413: 1412: 1408: 1400: 1393: 1363: 1362: 1358: 1348: 1346: 1342: 1331: 1327: 1326: 1322: 1315: 1302: 1301: 1297: 1288: 1287: 1283: 1273: 1272: 1268: 1251: 1247: 1234: 1233: 1226: 1213: 1212: 1208: 1195: 1194: 1190: 1185: 1149: 1140: 1131: 1115: 1102:hyperthyroidism 1098:Graves' disease 1085: 1077: 998:Derbyshire Neck 944:Graves' disease 893: 865: 864: 860: 858: 854: 852: 848: 846: 842: 840: 836: 834: 830: 828: 824: 822: 818: 816: 812: 810: 806: 804: 800: 798: 794: 792: 788: 776: 767: 745:in the form of 723: 677:hyperthyroidism 650: 627: 576: 471:Hyperthyroidism 455:Graves' disease 273:Pathophysiology 238: 231: 228: 219: 216: 181:thyroid hormone 177:hypermetabolism 145:hyperthyroidism 133: 33: 28: 23: 22: 15: 12: 11: 5: 2898: 2896: 2888: 2887: 2882: 2877: 2867: 2866: 2860: 2859: 2857: 2856: 2855: 2854: 2852:Colloid nodule 2847:Thyroid nodule 2844: 2843: 2842: 2837: 2832: 2830:Endemic goitre 2821: 2819: 2815: 2814: 2812: 2811: 2810: 2809: 2804: 2799: 2788: 2787: 2786: 2781: 2776: 2766: 2760: 2758: 2752: 2751: 2748: 2747: 2745: 2744: 2739: 2738: 2737: 2732: 2727: 2722: 2717: 2712: 2707: 2702: 2693: 2691: 2682: 2681: 2678: 2673: 2668: 2663: 2661:Hashitoxicosis 2658: 2657: 2656: 2651: 2640: 2638: 2632: 2631: 2629: 2628: 2627: 2626: 2623: 2618: 2613: 2605: 2600: 2595: 2594: 2593: 2588: 2583: 2575: 2570: 2565: 2560: 2555: 2554: 2553: 2543: 2537: 2535: 2533:Hypothyroidism 2529: 2528: 2523: 2521: 2520: 2513: 2506: 2498: 2489: 2488: 2485: 2484: 2472: 2471: 2469: 2465: 2464: 2461: 2460: 2449: 2438: 2423: 2404: 2376: 2371: 2370: 2368: 2367:Classification 2361: 2360: 2348: 2332: 2331:External links 2329: 2326: 2325: 2306:(4): 557–560. 2286: 2266: 2247: 2225: 2218: 2195: 2173: 2126: 2111: 2094: 2075:(8): 866–869. 2055: 2029: 1990: 1978: 1929: 1912: 1895:Läkartidningen 1885: 1867: 1860: 1837: 1780: 1768: 1759: 1738: 1725: 1695: 1677: 1650: 1632: 1589: 1578:. MDText.com. 1566: 1541: 1515: 1472: 1465: 1457:Thyroid cancer 1442: 1406: 1391: 1356: 1320: 1313: 1295: 1281: 1266: 1245: 1224: 1206: 1187: 1186: 1184: 1181: 1180: 1179: 1174: 1165: 1163:Endemic goitre 1160: 1148: 1145: 1139: 1136: 1130: 1129:Social Impacts 1127: 1114: 1111: 1110: 1109: 1084: 1081: 1076: 1073: 1038:Central Africa 892: 889: 859: 853: 847: 841: 835: 829: 823: 817: 811: 805: 799: 793: 787: 786: 775: 772: 766: 763: 747:Lugol's iodine 722: 719: 718: 717: 710: 707: 699: 698: 696: 692: 691: 684: 681:Thyroid cancer 669: 666:thyroid nodule 661: 660: 658: 657:Growth pattern 649: 646: 626: 623: 622: 621: 616: 611: 606: 601: 596: 588: 587: 585: 583: 581: 578: 573: 571: 565: 564: 561: 559: 557: 554: 551: 549: 542: 541: 534: 532: 530: 527: 525: 523: 521:Thyroid cancer 517: 516: 514: 512: 510: 508: 505: 499: 493: 492: 489: 486: 476: 473: 468: 461:Autoantibodies 458: 451: 450: 448: 445: 442: 439: 437: 430: 424: 423: 420: 417: 412: 406: 405:Hypothyroidism 403: 393: 387: 386: 384: 382: 380: 378: 376: 374: 368: 367: 365: 363: 361: 359: 357: 355: 348: 347: 345: 343: 341: 339: 337:Hypothyroidism 334: 325: 319: 318: 315: 312: 309: 306: 304:hypothyroidism 300: 294: 290: 289: 286: 283: 280: 279:Growth pattern 277: 274: 271: 237: 234: 233: 232: 229: 222: 220: 217: 210: 141:hypothyroidism 132: 129: 81: 80: 75: 69: 68: 57: 56: 48: 47: 44: 40: 39: 31: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2897: 2886: 2883: 2881: 2878: 2876: 2873: 2872: 2870: 2853: 2850: 2849: 2848: 2845: 2841: 2838: 2836: 2833: 2831: 2828: 2827: 2826: 2823: 2822: 2820: 2816: 2808: 2805: 2803: 2800: 2798: 2795: 2794: 2792: 2789: 2785: 2782: 2780: 2777: 2775: 2774:De Quervain's 2772: 2771: 2770: 2767: 2765: 2762: 2761: 2759: 2757: 2753: 2743: 2740: 2736: 2733: 2731: 2728: 2726: 2723: 2721: 2718: 2716: 2713: 2711: 2708: 2706: 2705:Boston's sign 2703: 2701: 2698: 2697: 2695: 2694: 2692: 2690: 2686: 2679: 2677: 2674: 2672: 2671:Thyroid storm 2669: 2667: 2664: 2662: 2659: 2655: 2652: 2650: 2647: 2646: 2645: 2642: 2641: 2639: 2637: 2633: 2625:Atrophic type 2624: 2622: 2619: 2617: 2614: 2612: 2609: 2608: 2606: 2604: 2601: 2599: 2596: 2592: 2589: 2587: 2584: 2582: 2579: 2578: 2576: 2574: 2571: 2569: 2566: 2564: 2563:Myxedema coma 2561: 2559: 2556: 2552: 2549: 2548: 2547: 2544: 2542: 2539: 2538: 2536: 2534: 2530: 2526: 2519: 2514: 2512: 2507: 2505: 2500: 2499: 2496: 2483: 2479: 2478: 2474: 2473: 2470: 2466: 2459: 2455: 2454: 2450: 2448: 2444: 2443: 2439: 2437: 2433: 2432: 2428: 2424: 2422: 2418: 2414: 2413: 2409: 2405: 2403: 2399: 2395: 2391: 2387: 2386: 2382: 2378: 2377: 2374: 2369: 2365: 2358: 2353: 2349: 2347:at Wiktionary 2346: 2345: 2339: 2335: 2334: 2330: 2321: 2317: 2313: 2309: 2305: 2301: 2297: 2290: 2287: 2282: 2281: 2276: 2275:Fox-Davies AC 2270: 2267: 2262: 2258: 2251: 2248: 2244: 2240: 2236: 2229: 2226: 2221: 2215: 2211: 2210: 2205: 2199: 2196: 2183: 2177: 2174: 2169: 2165: 2161: 2157: 2153: 2149: 2145: 2141: 2137: 2130: 2127: 2122: 2115: 2112: 2109: 2108: 2103: 2098: 2095: 2090: 2086: 2082: 2078: 2074: 2070: 2066: 2059: 2056: 2043: 2039: 2033: 2030: 2025: 2021: 2017: 2013: 2009: 2005: 2001: 1994: 1991: 1987: 1982: 1979: 1974: 1970: 1965: 1960: 1956: 1952: 1948: 1944: 1940: 1933: 1930: 1927: 1926:Who Named It? 1923: 1922: 1916: 1913: 1908: 1904: 1900: 1896: 1889: 1886: 1882: 1881:Who Named It? 1878: 1877: 1871: 1868: 1863: 1861:0-671-62028-2 1857: 1853: 1846: 1844: 1842: 1838: 1833: 1829: 1824: 1819: 1815: 1811: 1807: 1803: 1799: 1795: 1791: 1784: 1781: 1777: 1772: 1769: 1763: 1760: 1755: 1748: 1742: 1739: 1728: 1722: 1718: 1714: 1710: 1706: 1699: 1696: 1691: 1687: 1681: 1678: 1673: 1669: 1665: 1661: 1654: 1651: 1646: 1642: 1636: 1633: 1628: 1624: 1620: 1616: 1612: 1608: 1605:(4): 278–81. 1604: 1600: 1593: 1590: 1585: 1581: 1577: 1570: 1567: 1555: 1551: 1545: 1542: 1529: 1525: 1519: 1516: 1511: 1507: 1503: 1499: 1495: 1491: 1488:(6): 755–64. 1487: 1483: 1476: 1473: 1468: 1462: 1458: 1452: 1446: 1443: 1438: 1434: 1430: 1426: 1422: 1418: 1410: 1407: 1403: 1398: 1396: 1392: 1387: 1383: 1379: 1375: 1372:(6): 1807–9. 1371: 1367: 1360: 1357: 1341: 1337: 1336:Atsdr.cdc.gov 1330: 1324: 1321: 1316: 1310: 1306: 1299: 1296: 1291: 1285: 1282: 1277: 1270: 1267: 1262: 1256: 1248: 1246:3-936072-27-2 1242: 1238: 1231: 1229: 1225: 1220: 1216: 1210: 1207: 1202: 1198: 1192: 1189: 1182: 1178: 1175: 1173: 1169: 1168:Struma ovarii 1166: 1164: 1161: 1158: 1154: 1151: 1150: 1146: 1144: 1138:Summarization 1137: 1135: 1128: 1126: 1124: 1120: 1112: 1107: 1103: 1099: 1095: 1092:and his wife 1091: 1087: 1086: 1083:Notable cases 1082: 1080: 1074: 1072: 1068: 1066: 1062: 1058: 1054: 1050: 1046: 1041: 1039: 1035: 1031: 1027: 1023: 1019: 1018:Intermountain 1015: 1011: 1007: 1003: 1002:United States 999: 995: 991: 986: 984: 980: 976: 972: 970: 969:Edward Jenner 967:(a friend of 966: 961: 957: 953: 949: 945: 941: 937: 932: 930: 926: 922: 913: 906: 902: 897: 890: 888: 886: 882: 877: 875: 870: 857: 500–800 851: 450–500 845: 400–450 839: 350–400 833: 300–350 827: 250–300 821: 200–250 815: 150–200 809: 100–150 791: no data 784: 780: 773: 771: 764: 762: 761:is required. 760: 759:thyroidectomy 756: 752: 748: 744: 740: 736: 733:(T3 and T4), 732: 728: 727:thyroid gland 720: 715: 711: 708: 705: 701: 700: 697: 694: 693: 689: 685: 682: 678: 674: 670: 667: 663: 662: 659: 656: 655: 654: 647: 645: 643: 636: 635:toxic adenoma 631: 624: 620: 617: 615: 612: 610: 607: 605: 602: 600: 597: 595: 592: 591: 586: 584: 582: 579: 574: 572: 570: 567: 566: 562: 560: 558: 555: 552: 550: 548: 544: 543: 539: 535: 533: 531: 528: 526: 524: 522: 519: 518: 515: 513: 511: 509: 506: 504: 500: 498: 495: 494: 490: 487: 484: 480: 477: 474: 472: 469: 466: 462: 459: 456: 453: 452: 449: 446: 443: 440: 438: 435: 431: 429: 426: 425: 421: 418: 416: 413: 411: 407: 404: 401: 397: 394: 392: 389: 388: 385: 383: 381: 379: 377: 375: 373: 370: 369: 366: 364: 362: 360: 358: 356: 353: 350: 349: 346: 344: 342: 340: 338: 335: 333: 329: 328:Inborn errors 326: 324: 321: 320: 316: 313: 310: 307: 305: 301: 298: 295: 292: 291: 287: 284: 281: 278: 275: 272: 269: 268: 265: 263: 259: 255: 251: 247: 243: 235: 226: 221: 214: 209: 207: 204: 202: 198: 194: 190: 186: 182: 178: 174: 170: 166: 162: 158: 154: 151:stimulation: 150: 146: 142: 138: 137:thyroid gland 130: 128: 126: 122: 118: 114: 111: 107: 102: 100: 99:thyroid gland 96: 92: 88: 79: 78:Endocrinology 76: 74: 70: 67: 63: 58: 54: 49: 45: 41: 36: 30: 19: 2824: 2586:Woltman sign 2475: 2451: 2440: 2425: 2406: 2379: 2343: 2303: 2299: 2289: 2279: 2269: 2260: 2250: 2242: 2238: 2228: 2208: 2198: 2186:. Retrieved 2176: 2143: 2139: 2129: 2114: 2105: 2097: 2072: 2068: 2058: 2046:. Retrieved 2042:the original 2032: 2007: 2003: 1993: 1986:"Paracelsus" 1981: 1949:(6): 335–8. 1946: 1942: 1932: 1919: 1915: 1898: 1894: 1888: 1874: 1870: 1851: 1800:(2): 81–87. 1797: 1793: 1783: 1771: 1762: 1753: 1741: 1730:, retrieved 1708: 1698: 1689: 1680: 1666:(2): 114–7. 1663: 1659: 1653: 1644: 1635: 1602: 1598: 1592: 1569: 1557:. Retrieved 1553: 1544: 1532:. Retrieved 1527: 1518: 1485: 1481: 1475: 1456: 1445: 1420: 1416: 1409: 1369: 1365: 1359: 1347:. Retrieved 1335: 1323: 1304: 1298: 1284: 1275: 1269: 1236: 1218: 1209: 1200: 1191: 1153:David Marine 1141: 1132: 1116: 1094:Barbara Bush 1078: 1069: 1064: 1045:iodized salt 1042: 1034:Central Asia 997: 987: 973: 951: 948:exophthalmos 933: 924: 921:Tang dynasty 918: 878: 871: 868: 803: 50–100 774:Epidemiology 768: 724: 651: 639: 633:Goitre with 503:inflammation 408:Diffuse and 246:iodized salt 239: 205: 201:non-specific 193:constipation 185:exophthalmos 157:palpitations 134: 112: 103: 90: 86: 84: 29: 2818:Enlargement 2797:Hashimoto's 2756:Thyroiditis 2730:Möbius sign 2477:MedlinePlus 2048:27 February 1219:NHS Choices 1170:—a kind of 1010:Great Lakes 1006:Appalachian 899:Goitre and 751:KI solution 688:hyperplasia 599:Amyloidosis 594:Sarcoidosis 497:Thyroiditis 483:radioiodine 400:lymphocytes 297:Hyperplasia 161:nervousness 153:tachycardia 62:hyperplasia 43:Other names 2869:Categories 2802:Postpartum 2791:Autoimmune 2453:DiseasesDB 2188:1 November 1988:Britannica 1183:References 1022:table salt 975:Paracelsus 614:Acromegaly 302:Can cause 288:Prognosis 149:adrenergic 115:, meaning 2793:/chronic 2784:Palpation 2546:Cretinism 2320:0034-6705 2204:Lahita RG 2160:0021-972X 2024:109845199 2010:: 74–93. 1814:0271-4353 1255:cite book 1065:Kropfband 1063:, dubbed 1032:, China, 1000:. In the 929:sargassum 721:Treatment 704:palpation 625:Diagnosis 485:, surgery 447:Very rare 410:lobulated 354:ingestion 352:Goitrogen 282:Treatment 121:cancerous 73:Specialty 2807:Riedel's 2769:Subacute 2591:Myoedema 2558:Myxedema 2277:(1904). 2168:11397823 1832:18010882 1732:6 August 1672:15481700 1627:38834260 1619:15658668 1584:25905424 1534:27 March 1524:"Goitre" 1510:34137703 1502:25002182 1437:16356093 1386:21119426 1349:16 March 1340:Archived 1172:teratoma 1147:See also 1113:Heraldry 1057:Salzburg 1053:Miesbach 197:lethargy 113:gutturia 60:Diffuse 2880:Thyroid 2720:lid lag 2447:D006042 2390:5A00.00 2357:Goiters 1973:9771526 1964:1296785 1907:6355710 1823:1354367 1756:. 2002. 1559:6 March 1451:Page 10 1417:Thyroid 1051:in the 1014:Midwest 950:in his 891:History 874:topsoil 755:thyroid 714:sternum 580:Diffuse 545:Benign 475:Diffuse 441:Diffuse 308:Diffuse 262:cassava 66:thyroid 64:of the 2825:Goitre 2482:001178 2402:5A02.0 2394:5A00.1 2344:goitre 2318:  2216:  2166:  2158:  2089:888801 2087:  2022:  1971:  1961:  1905:  1858:  1830:  1820:  1812:  1723:  1670:  1625:  1617:  1582:  1528:nhs.uk 1508:  1500:  1463:  1435:  1384:  1311:  1243:  1157:iodine 1123:German 1061:choker 1049:tracht 1036:, and 1016:, and 979:Iodine 905:Styria 861:  855:  849:  843:  837:  831:  825:  819:  813:  807:  801:  795:  789:  743:iodide 311:Iodine 236:Causes 165:tremor 125:benign 117:throat 91:goiter 87:goitre 46:Goiter 38:Goitre 2436:240.9 2020:S2CID 1750:(xls) 1623:S2CID 1506:S2CID 1343:(PDF) 1332:(PDF) 1119:Tyrol 1030:India 648:Types 609:Cysts 270:Cause 110:Latin 89:, or 2621:LEMS 2611:KDSS 2458:5332 2442:MeSH 2431:9-CM 2398:5A01 2316:ISSN 2214:ISBN 2190:2012 2164:PMID 2156:ISSN 2085:PMID 2050:2021 1969:PMID 1903:PMID 1856:ISBN 1828:PMID 1810:ISSN 1734:2024 1721:ISBN 1668:PMID 1615:PMID 1580:PMID 1561:2022 1536:2019 1498:PMID 1461:ISBN 1453:in: 1433:PMID 1382:PMID 1351:2017 1309:ISBN 1261:link 1241:ISBN 1104:and 1055:and 990:soil 938:, a 695:Size 171:and 95:neck 2427:ICD 2421:E05 2417:E01 2408:ICD 2381:ICD 2308:doi 2148:doi 2077:doi 2073:131 2012:doi 2008:104 1959:PMC 1951:doi 1924:at 1879:at 1818:PMC 1802:doi 1713:doi 1607:doi 1490:doi 1486:399 1425:doi 1374:doi 1024:is 903:in 749:or 465:TSH 330:of 143:or 2871:: 2480:: 2456:: 2445:: 2434:: 2415:: 2412:10 2400:, 2396:, 2392:, 2388:: 2385:11 2314:. 2304:39 2302:. 2298:. 2259:. 2241:. 2237:. 2162:. 2154:. 2144:86 2142:. 2138:. 2083:. 2071:. 2067:. 2018:. 2006:. 2002:. 1967:. 1957:. 1947:91 1945:. 1941:. 1899:80 1897:. 1840:^ 1826:. 1816:. 1808:. 1798:13 1796:. 1792:. 1752:. 1719:, 1707:, 1688:. 1664:75 1662:. 1643:. 1621:. 1613:. 1603:93 1601:. 1552:. 1526:. 1504:. 1496:. 1484:. 1431:. 1421:15 1419:. 1394:^ 1380:. 1370:21 1368:. 1338:. 1334:. 1257:}} 1253:{{ 1227:^ 1217:. 1199:. 1040:. 1012:, 1008:, 481:, 248:. 195:, 191:, 167:, 163:, 159:, 85:A 2517:e 2510:t 2503:v 2429:- 2419:– 2410:- 2383:- 2373:D 2322:. 2310:: 2263:. 2222:. 2192:. 2170:. 2150:: 2123:. 2091:. 2079:: 2052:. 2026:. 2014:: 1975:. 1953:: 1909:. 1864:. 1834:. 1804:: 1766:1 1715:: 1692:. 1674:. 1647:. 1629:. 1609:: 1586:. 1563:. 1538:. 1512:. 1492:: 1469:. 1439:. 1427:: 1388:. 1376:: 1353:. 1317:. 1263:) 1249:. 1159:. 706:. 690:. 402:. 123:( 20:)

Index

Multinodular goiter

hyperplasia
thyroid
Specialty
Endocrinology
neck
thyroid gland
iodine deficiency
Latin
throat
cancerous
benign
thyroid gland
hypothyroidism
hyperthyroidism
adrenergic
tachycardia
palpitations
nervousness
tremor
increased blood pressure
heat intolerance
hypermetabolism
thyroid hormone
exophthalmos
cold intolerance
constipation
lethargy
non-specific

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