An Appraisal of the Diagnostic Significance of the Radioactive Iodine Excretion Test and the Protein-Bound Iodine in the Serum in an Endemic Goitre Area1

2009 ◽  
Vol 158 (1) ◽  
pp. 63-70 ◽  
Author(s):  
B.-A. LAMBERG ◽  
P. WAHLBERG ◽  
B. KUHLBÄCK ◽  
C. A. HERNBERG ◽  
K. STENIUS
1950 ◽  
Vol 28e (4) ◽  
pp. 147-151 ◽  
Author(s):  
J. P. Gemmell ◽  
W. F. Perry

Further investigations have been carried out on the previously reported increase in iodine excretion which occurs following the stress of surgical operations. By means of adrenocorticotrophic hormone it was demonstrated in four subjects that increased activity of the adrenal cortex does not of itself cause an increase in iodine excretion. In six patients subjected to elective surgical procedures it was shown with the aid of radioactive iodine that the inorganic iodide of the body tissues is not the source of increased iodine excretion which follows such operations. Other possible causes and sources of the postoperative increase in iodine excretion are discussed.


2006 ◽  
Vol 3 (5) ◽  
pp. 338 ◽  
Author(s):  
Ying Lu ◽  
Sazia Suliman ◽  
Helle R. Hansen ◽  
Jörg Feldmann

Environmental Context. Iodine is an essential element of mammals and iodine deficiency of mammals has been recorded in more than 100 countries worldwide. Additionally, radioactive iodine is a major threat from nuclear fallout and so-called ‘dirty bombs’. Iodine supplementation is able to counteract deficiency and to reduce the potential for uptake of radioactive iodine. Seaweed, one of the best natural sources of iodine, has often been advocated for use as feed for livestock in order to increase the iodine concentration of our diets. The danger of excess iodine, however, has not been studied extensively. Here we investigate the bioavailability of iodine from brown kelps (Laminaria digitata and Laminaria hyperborea) and the adaptation of sheep to excess iodine intake. Abstract. Iodine concentrations in tissue and urine samples of 11 seaweed-eating sheep from North Ronaldsay in Orkney, Scotland, were measured during a feeding experiment. Two groups of six sheep (control was kept on grass five months before experiment, while the trial group were caught at the beach) each ate 0.5 ± 0.1 kg dry mass of seaweed (Laminaria digitata and Laminaria hyperborea) each day in an 11-day feeding trial and had a body burden of around 2300 mg iodine daily, almost entirely as iodide. This iodine intake of 124 mg I kg bodyweight–1 is more than 60 000 times higher than the recommended daily intake for humans. The iodine concentration in the urine within 4 h after the seaweed meal was 1295 ± 369 mg I kg–1. Thus, more than 66% of the total iodine ingested by the sheep was excreted within 24 h. The iodine excretion of the control group was slightly slower (T1/2 = 15.9 ± 7.2 h) than that of the trial group (T1/2 = 9.1 ± 1.6 h). In the same experiment, the excretion of iodine was faster than that of arsenic (T1/2 = 24.3 h). Tissue samples from feral North Ronaldsay sheep taken directly from the beach showed elevated iodine levels (liver: 2710 ± 505 μg I kg–1 > kidney: 1827 ± 618 μg I kg–1 > neck muscles: 404 ± 117 μg I kg–1 based on fresh weight), pointing to insufficient homeostatic control of iodine uptake, so that iodine concentrations were 17 times higher than those of non-exposed sheep. A trend of continuous accumulation of iodine in the liver and kidney throughout the life of the sheep was observed. In contrast to arsenic, iodine was higher in the liver and kidney than in the muscle.


2011 ◽  
Vol 75 (6) ◽  
pp. 851-856 ◽  
Author(s):  
Hee Kyung Kim ◽  
Soo Youn Lee ◽  
Ji In Lee ◽  
Hye Won Jang ◽  
Soo Kyoung Kim ◽  
...  

1966 ◽  
Vol 36 (4) ◽  
pp. 341-NP ◽  
Author(s):  
S. PAPADOPOULOS ◽  
S. MacFARLANE ◽  
R. McG. HARDEN ◽  
D. K. MASON ◽  
W. D. ALEXANDER

SUMMARY The excretion of iodine in urine, saliva, gastric juice and sweat has been studied by using 131I-labelled monoiodotyrosine in a patient with the dehalogenase type of dyshormonogenesis. Iodinated components 'x', iodide, monoiodotyrosine and 'y' were found in the urine. A previously undescribed component (compound 'u') accounted for a large fraction of the urinary radioactive iodine. Organic iodinated compounds were not excreted in the saliva. Only inorganic iodide was found in the gastric juice. No organic iodine was detected in the sweat. The plasma inorganic iodine (PII) derived from salivary iodine measurements gave low values indicative of iodine deficiency. The PII values obtained from the urinary iodine were falsely high due to the presence of organic iodinated compounds.


1977 ◽  
Vol 85 (2) ◽  
pp. 325-334 ◽  
Author(s):  
S. Platzer ◽  
H. Fill ◽  
G. Riccabona ◽  
J. Glatzl ◽  
J. Seidl ◽  
...  

ABSTRACT The whole population of Certosa (Karthaus) (altitude 1327 m), a little village in the Alto Adige province in Northern Italy, was studied regarding the incidence and pathophysiological data of endemic goitre. The study included 204 subjects: in 85 % of the whole population, and in 48 % of the school-children population from 6-14 years of age, thyroid enlargement and/or nodularity was found. The 24 h [131I]uptake was 48.6 ± 11.96; the grade "O" thyroids also showed an increased uptake. The region is poor in iodine; the mean iodine content of 55 samples of local drinking water was 0.81 ± 0.96 μg/I; the iodine content of several foodstuffs was definitely lower than those from Turin's markets. The mean iodine excretion in 60 samples of urine was 35.96 ± 22.4 μg/g creatinine. Urinary iodine excretion showed a linear negative correlation with [131I]uptake and did not correlate well with the presence or size of the goitre. The mean values of PBI (6.12 ± 1.57 μg/100 ml) of T4 (7 ± 2.3 μg/100 ml), of T3 (121 ± 55.4 ng/100 ml) and of a free thyroxine index (ETR = 0.95), as well as of TSH (2.63 ± 1.9 μU/ml) were in the normal range. Grade III goitres had slightly lower hormonal values, and a somewhat elevated T3/(T4x100) ratio (0.19). Serum TSH levels showed no correlation with the presence or size of the goitre, radioiodine uptake, the urinary iodine excretion, and not always showed an inverse correlation with the peripheral thyroid hormone values. Urinary thiocyanate excretion (mean value 9.28 ± 2.96 mg/24 h) did not show any relation to the presence of goitre. Raven's tests and physical data obtained from school-children in Alto Adige show some slight alteration in the distribution pattern when compared to normal populations. It is concluded that iodine deficiency exists in the studied area, but that it is not always associated with goitre, and that other pathological factors must be involved in goitrogenesis. Goitre is not coupled with enhanced TSH serum levels. The slight alteration in intellectual and somatic development in schoolchildren may possibly be related to iodine deficiency; other environmental or genetic factors, however, cannot be excluded.


1960 ◽  
Vol XXXIII (IV) ◽  
pp. 593-602 ◽  
Author(s):  
Riitta Hakkila ◽  
B.-A. Lamberg ◽  
C. A. Hernberg

ABSTRACT The changes in serum protein-bound iodine and serum cholesterol and in the radioactive iodine excretion test were studied in 144 cases of thyrotoxicosis (98 cases with toxic nodular goitre, 34 with diffuse toxic goitre and 12 with a »non-palpable« thyroid). It is concluded that changes in PBI and cholesterol are usually well correlated with changes in the clinical condition. Measurement of these indices of thyroid function at specified intervals after treatment will therefore give an adequate picture of the clinical course in most cases. In a few cases, however, some discrepancies were observed, notably hypothyroid parameters with euthyroidism in an intermediate stage before final stabilization of the clinical condition occurred. These cases may represent temporary subclinical hypothyroidism. The excretion of radioactive iodine may be elevated in the early phases after treatment, reflecting the radiation injury to the thyroid. In later phases the excretion may remain low, indicating a small thyroidal iodine pool with a rapid turn-over. Hence, the measurement of excretion of radioactive iodine (or the thyroid uptake) after treatment is not very valuable as a thyroid function test but affords other valuable information on the state of the thyroid gland.


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