1. Iodination and its effect on hyperthyroidism
- Author
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R. Dassanayake, G.B. Agalawatte, P C Ratnatunga, N.V.I. Ratnatunge, Champa N. Ratnatunga, A.M. Kumari, and K. B. Galketiya
- Subjects
endocrine system ,medicine.medical_specialty ,Pediatrics ,endocrine system diseases ,Exacerbation ,iodination, hyperthyroidism ,business.industry ,Incidence (epidemiology) ,lcsh:R ,lcsh:Medicine ,Surgery ,Teaching hospital ,Iodine supplementation ,Diffuse toxic goiter ,medicine ,Secondary hyperthyroidism ,Sri lanka ,business ,geographic locations ,hormones, hormone substitutes, and hormone antagonists - Abstract
Background: Iodine supplementation with salt as a carrier was introduced in Sri Lanka in 1995. Literature from elsewhere suggest that there is an increase in hyperthyroidism after the initiation of such programmes.Objectives: To identify weather iodination precipitated an exacerbation of hyperthyroidism in the Central Province of Sri LankaMethods: Four-hundred-and-eight consecutive patients with hyperthyroidism seen over a period of thirty one years in a General Surgical Clinic at Teaching Hospital, Peradeniya were reviewed.Results: The prevalence of secondary hyperthyroidism increased after iodination. No change in the demography and presentation of simple diffuse toxic goiter was observed.Conclusions: Physicians must be aware of this increased incidence of hyperthyroidism after iodination and need to be vigilant of the need to control it, in view of its complications.
- Published
- 2017
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