Problems in diagnosis and management of goitre in childhood and adolescence

Webb, A. J.; Brewster, Simon; Newington, D. P.

doi:10.1002/bjs.1800831132

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…The sensitivity of clinical examination in establishing the presence of goiter increases with better training of health personnel and clinical examination is regarded as a practical screening method in population-based studies [7,8] .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Goiter among Children Aged 11–16 Years in Ahwaz, Iran

Monajemzadeh¹,

Moghadam²

2008

Med Princ Pract

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Objective: This cross-sectional study was conducted in Ahwaz, Iran to find out the prevalence of goiter among schoolchildren ages 11–16 years. Subjects andMethods: Multistage sampling methodology was followed for selecting the study population. A total of 1,950 children (1,050 males, 900 females) were clinically assessed for thyroid gland enlargement. Data were collected on age, sex, weight, height, iodized salt consumption, family history of goiter, and thyroid size by palpation. Results: One hundred forty-six of the 1,950 children showed various grades of goiter, giving a prevalence of overall goiter of 7.48%. Of the 146 persons with goiter, 46 (31.5%) were male and 100 (68.5%) were female. Prevalence of goiter among male and female students was 4.4 and 11.1%, respectively. Prevalence of grade 1, 2, and 3 goiters was 56.8% (83 cases), 37.7% (55 cases), and 5.5% (8 cases), respectively. A significant difference existed between height of students with grade 1 goiter and those with grade 2 and 3 goiter (p < 0.001). A significant difference also was found between weight of students with grade 1 goiter and students with grade 2 goiters (p < 0.002). Conclusion: These results indicate that Ahwaz City is not an endemic area for iodine deficiency, probably because of its geographic location (the low altitude of sea level) or nutritional habits of its population (consumption of fish and iodized salt).

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Section: Discussionmentioning

confidence: 99%

Prevalence of Goiter among Children Aged 11–16 Years in Ahwaz, Iran

Monajemzadeh¹,

Moghadam²

2008

Med Princ Pract

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Gotier and Thyrotoxicosis in Sulaimani

Hasan¹

2000

JZS

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The aim of this retrospective study was to elucidate the characteristics of the patients with goiter in Sulaimani teaching hospital. A total of 140 patients entered this study The mean age was 30 years. The female : male ratio was 4:1, and 2/3'd of females were housewives and about 2/3'd of males were self-employed. About half of the cases had goiter of more than a year and 1/3'd of the cases had a positive family history of goiter. Lipidol was a significant factor in the development of thyrotoxicosis . 10% of the cases had emotional upheavals preceding thyrotoxicosis. In conclusion :Goiter is increasing in Sulaimani territory with an increasing costs on the governments and the local health services which requires extra-ordinary steps for propaganda and education to encourage people to use iodized table salts routinely to prevent the disease. The increased incidence of thyrotoxicosis in this area is multifactorial including the very stressful life-style of the people in this mountainous area and the sudden introduction of lipidol to patients with avid, enlarged thyroid gland , and on the top of that the changes in the diet patterns due to sudden opening of free markets in the recent years all might be contributory factors.

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Problems in diagnosis and management of goitre in childhood and adolescence

Cited by 2 publications

References 25 publications

Prevalence of Goiter among Children Aged 11–16 Years in Ahwaz, Iran

Prevalence of Goiter among Children Aged 11–16 Years in Ahwaz, Iran

Gotier and Thyrotoxicosis in Sulaimani

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