Biomaterial Database

[Iodine excess and iatrogenic thyroid pathology (author's transl)]. 1981

A F Leger, and M F Laurent, and J C Savoie

Iodine-induced thyroid disorder is frequent. Amiodarone is responsible for more than half cases of iodine-induced hypothyroidism and hyperthyroidism. Iodine-induced hypothyroidism is detected by the Perchlorate discharge test where its positivity suggests failure of the normal iodine organification. An inhibition of the thyroglobulin proteolysis is probably involved in the pathological process of iodine-induced hypothyroidism. Premature infants are unusually sensitive to iodine excess. Hypothyroidism has been induced in 50% of newborns of 34 weeks or less of gestation after the application, for a few days, of iodized antiseptics. Iodine-induced thyrotoxicosis account for 6% of patients with hyperthyroidism. It occurs most frequently in male with prior normal thyroid gland. The main diagnosis features are the activation of the 131I uptake by exogenous TSH and the spontaneous evolution towards cure. However, in some cases, the severity of the thyrotoxicosis or the slow spontaneous resolution require surgical or medical therapy. From different therapeutic trials it seems that only corticoids and Propylthiouracile are useful. PTU, believed as the drug of choice, has however an incomplete and inconstant effect. The histochemical aspects of the iodine-induced hypo and hyperthyroidism let suppose the possibility of some common mechanism.

UI	MeSH Term	Description	Entries
D006980	Hyperthyroidism	Hypersecretion of THYROID HORMONES from the THYROID GLAND. Elevated levels of thyroid hormones increase BASAL METABOLIC RATE.	Hyperthyroid,Primary Hyperthyroidism,Hyperthyroidism, Primary,Hyperthyroids
D007037	Hypothyroidism	A syndrome that results from abnormally low secretion of THYROID HORMONES from the THYROID GLAND, leading to a decrease in BASAL METABOLIC RATE. In its most severe form, there is accumulation of MUCOPOLYSACCHARIDES in the SKIN and EDEMA, known as MYXEDEMA. It may be primary or secondary due to other pituitary disease, or hypothalamic dysfunction.	Central Hypothyroidism,Primary Hypothyroidism,Secondary Hypothyroidism,TSH Deficiency,Thyroid-Stimulating Hormone Deficiency,Central Hypothyroidisms,Deficiency, TSH,Deficiency, Thyroid-Stimulating Hormone,Hormone Deficiency, Thyroid-Stimulating,Hypothyroidism, Central,Hypothyroidism, Primary,Hypothyroidism, Secondary,Hypothyroidisms,Primary Hypothyroidisms,Secondary Hypothyroidisms,TSH Deficiencies,Thyroid Stimulating Hormone Deficiency,Thyroid-Stimulating Hormone Deficiencies
D007049	Iatrogenic Disease	Any adverse condition in a patient occurring as the result of treatment by a physician, surgeon, or other health professional, especially infections acquired by a patient during the course of treatment.	Hospital-Acquired Condition,Condition, Hospital-Acquired,Conditions, Hospital-Acquired,Disease, Iatrogenic,Diseases, Iatrogenic,Hospital Acquired Condition,Hospital-Acquired Conditions,Iatrogenic Diseases
D007231	Infant, Newborn	An infant during the first 28 days after birth.	Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007232	Infant, Newborn, Diseases	Diseases of newborn infants present at birth (congenital) or developing within the first month of birth. It does not include hereditary diseases not manifesting at birth or within the first 30 days of life nor does it include inborn errors of metabolism. Both HEREDITARY DISEASES and METABOLISM, INBORN ERRORS are available as general concepts.	Neonatal Diseases,Disease, Neonatal,Diseases, Neonatal,Neonatal Disease
D007234	Infant, Premature	A human infant born before 37 weeks of GESTATION.	Neonatal Prematurity,Premature Infants,Preterm Infants,Infant, Preterm,Infants, Premature,Infants, Preterm,Premature Infant,Prematurity, Neonatal,Preterm Infant
D007454	Iodides	Inorganic binary compounds of iodine or the I- ion.	Iodide
D007457	Iodine Radioisotopes	Unstable isotopes of iodine that decay or disintegrate emitting radiation. I atoms with atomic weights 117-139, except I 127, are radioactive iodine isotopes.	Radioisotopes, Iodine
D008297	Male		Males
D005260	Female		Females