The Occurrence of Graves Disease (Autoimmune Thyrotoxicosis) in Endocrinologists at the Mount Sinai Hospital in New York City From 1954 to 2011

Autor: Robert L. Segal, Sylvan Wallenstein
Rok vydání: 2015
Předmět:
Zdroj: Endocrine Practice. 21:482-487
ISSN: 1530-891X
DOI: 10.4158/ep14342.or
Popis: Objective: We report on the unique occurrence of Graves disease (thyrotoxicosis) in 7 male endocrinologists at the Mount Sinai Hospital (MSH) in New York City, New York between 1954 and 2011. Methods: We followed the endocrinologists and fellows assigned to the division over a period of 57 years by survey and personal contact. In the statistical studies, we assumed that the number of cases had a Poisson distribution and computed the exact probability based on the expected values. Results: Seven male endocrinologists had proven thyrotoxicosis during or following their service in the Endocrine Division at MSH. Six had a family history of thyrotoxicosis. None had known iodine 131 (131-I) thyroid contamination. Conclusion: The incidence of thyrotoxicosis greatly exceeds the rate predicted. Postulated factors in the causation of this unique occurrence are discussed. Abbreviations: 131-I = iodine 131 MSH = Mount Sinai Hospital RAI = radioactive iodine TSH = thyroid-stimulating hormone
Databáze: OpenAIRE