The effects of different doses of oral iodized oil on goiter size, urinary iodine, and thyroid-related hormones
Autor: | M Eltom, F. A. Karlsson, Mehari Gebre-Medhin, B. Elnagar, A. M. Ermans, Pierre Bourdoux |
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Rok vydání: | 1995 |
Předmět: |
Adult
Male Thyroid Hormones medicine.medical_specialty Goiter Adolescent Endocrinology Diabetes and Metabolism Clinical Biochemistry Administration Oral Thyrotropin chemistry.chemical_element Urine Iodine Biochemistry Endocrinology Oral administration Internal medicine medicine Humans Child Adverse effect Dose-Response Relationship Drug business.industry Biochemistry (medical) Thyroid Infant Newborn Infant Iodized Oil Middle Aged medicine.disease Iodine deficiency medicine.anatomical_structure chemistry Child Preschool Female business Hormone |
Zdroj: | The Journal of Clinical Endocrinology & Metabolism. 80:891-897 |
ISSN: | 1945-7197 0021-972X |
DOI: | 10.1210/jcem.80.3.7883848 |
Popis: | The prevention of iodine deficiency is still a worldwide concern. This study, conducted in Soja in western Sudan, was carried out to evaluate the effects of a dose of iodized oil sufficient enough to give maximum protection against goiter and provide an acceptable iodine supply without side-effects over a sufficiently long period of time. Adult goitrous subjects (n = 117) were randomly assigned to three groups, A, B, and C, and received a single oral dose of 200, 400, or 800 mg iodine, respectively. Urine and blood samples were collected at the start of the study and monitored for 1 yr. In the 3 groups, mean serum T4 and median urinary iodine and serum TSH values were restored to reference limits, and these were maintained for about 1 yr. In each treatment group, about two thirds of the subjects displayed a reduction in goiter size, and the 400- and 800-mg doses were not more efficient than the 200-mg dose to accomplish normalization of thyroid hormone values. A temporary rise in TSH was noted 1 week after iodine administration in 1, 3, and 10 subjects, respectively, and 1, 0, and 3 subjects showed biochemical signs of thyrotoxicosis during the year after treatment with the 3 different doses. The data indicate that oral administration of 200 mg iodine is effective and acceptable for treating iodine deficiency in adults for 1 yr. Because of the risks of side-effects and the shortage of medical resources, higher doses are not recommended. |
Databáze: | OpenAIRE |
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