Iodine supply in children on a plant-based diet - casuistics

Summary Aim: The influence of physiological and pharmacological amounts of iodine on the uptake of radioiodine in the thyroid was examined in a 4-compartment model. This model allows equations to be derived describing the distribution of tracer iodine as a function of time. The aim of the study was to compare the predictions of the model with experimental data. Methods: Five euthyroid persons received stable iodine (200 μg, 10 mg). 1-123-uptake into the thyroid was measured with the Nal (Tl)-detector of a body counter under physiological conditions and after application of each dose of additional iodine. Actual measurements and predicted values were compared, taking into account the individual iodine supply as estimated from the thyroid uptake under physiological conditions and data from the literature. Results: Thyroid iodine uptake decreased from 80% under physiological conditions to 50% in individuals with very low iodine supply (15 μg/d) (n = 2). The uptake calculated from the model was 36%. Iodine uptake into the thyroid did not decrease in individuals with typical iodine supply, i.e. for Cologne 65-85 μg/d (n = 3). After application of 10 mg of stable iodine, uptake into the thyroid decreased in all individuals to about 5%, in accordance with the model calculations. Conclusion: Comparison of theoretical predictions with the measured values demonstrated that the model tested is well suited for describing the time course of iodine distribution and uptake within the body. It can now be used to study aspects of iodine metabolism relevant to the pharmacological administration of iodine which cannot be investigated experimentally in humans for ethical and technical reasons.

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Nativer 99mTc-Uptake in der Differentialdiagnostik von unauffälliger Schilddrüse, Struma mit Euthyreose und Schilddrüsenautonomie in einem Jodmangelgebiet

Nuklearmedizin ◽

10.1055/s-0038-1629519 ◽

1990 ◽

Vol 29 (03) ◽

pp. 113-119

Author(s):

C. R. Pickardt ◽

K. Horn ◽

G. Bechtner ◽

C. Vaitl ◽

C. M. Kirsch ◽

...

Keyword(s):

Urinary Iodine ◽

Inverse Correlation ◽

Iodine Concentration ◽

Urinary Iodine Excretion ◽

Large Scatter ◽

Spot Urine ◽

Iodine Supply ◽

Iodine Contamination ◽

Iodine Excretion ◽

Overt Hyperthyroidism

Global TcTU was determined in 568 patients without any specific thyroid drug intake - 54 with normal thyroid, 274 with goitre and euthyroidism and 240 with thyroid autonomy. 57 patients with autonomy and overt hyperthyroidism were the only group with TcTU values significantly higher than normals. Common to all groups was a large scatter of the TcTU values. In 332, the effects of individual iodine supply were studied by measuring the iodine concentration in spot urine samples. There was a significant inverse correlation between the TcTU values and the urinary iodine excretion in the groups of normal thyroids and of goitres with euthyroidism. In the group with autonomy an effect of iodine supply could only be seen in cases of greatly increased urinary iodine excretion, resulting in very low TcTU values. Out of 20 patients with autonomy and iodine contamination, only 4 showed overt hyperthyroidism. The large scatter of TcTU values in all groups may be explained by the persistent iodine deficiency as well as by the frequent exposure to unknown amounts of iodine in patients with thyroid disease. Therefore, the spontaneous TcTU alone cannot identify a small group of patients with autonomy and high risk of iodine-induced hyperthyroidism, from a very large group of patients with goitre.

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Thyroglobulin level at week 16 of pregnancy is superior to urinary iodine concentration in revealing preconceptual and first trimester iodine supply

Maternal and Child Nutrition ◽

10.1111/mcn.12470 ◽

2017 ◽

Vol 14 (1) ◽

pp. e12470 ◽

Cited By ~ 6

Author(s):

Monika Katko ◽

Andrea Anett Gazso ◽

Ildiko Hircsu ◽

Harjit Pal Bhattoa ◽

Zsuzsanna Molnar ◽

...

Keyword(s):

Urinary Iodine ◽

Iodine Concentration ◽

First Trimester ◽

Urinary Iodine Concentration ◽

Iodine Supply ◽

Thyroglobulin Level

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Nuclear medical inpatient treatment in Germany

Nuklearmedizin ◽

10.3413/nukmed-0296 ◽

2010 ◽

Vol 49 (02) ◽

pp. 49-57 ◽

Cited By ~ 10

Author(s):

M. Dietlein ◽

C. Reiners ◽

R. Lorenz

Keyword(s):

Nuclear Medicine ◽

Thyroid Cancer ◽

Inpatient Treatment ◽

Radioiodine Therapy ◽

Main Diagnosis ◽

Medical Inpatient ◽

Iodine Prophylaxis ◽

Iodine Supply ◽

Quality Report ◽

Quality Reports

SummaryAll public licensed hospitals of Germany are obligated since 2004 to establish and to publish a structured biennial quality report. The aim of this study was to analyse the quality reports from 2008 of clinics with nuclear-medicine therapy ward and to investigate developments for the inpatient nuclear-medicine therapy by comparing the results with the quality reports of the years 2004 and 2006. Methods: All available structured quality reports of clinics with a nuclear-medicine therapy ward of the years 2004, 2006 and 2008 were evaluated. Results: The total number of inpatient treatment cases in 2008 amounted to 54 190 (2006: 54 884; 2004: 57 366). This corresponds to a decrease of 5.5% in comparison to 2004. The number of the therapy wards decreased at the same time to currently 117 (2006: 120; 2004: 124). Remarkable changes were found in the spectrum of the main diagnosis. Thus, the most frequent diagnosis with the ICD-code E05 (hyperthyroidism) decreased continuously from 37 747 treatments in 2004 and 34 764 in 2006 to 31 756 in the year 2008. In contrast, the ICD-diagnoses for thyroid cancer (C73, Z08) with 14 761 cases in 2008 increased with time (2006: 13 426; 2004: 12 581). Conclusions: In analogy to the observations from Europe after introduction of an iodine prophylaxis the improved iodine supply in Germany has led to a decline of the radioiodine therapy due to hyperthyroidism.

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The prevalence of immunological abnormalities in endemic simple goitre

Acta Endocrinologica ◽

10.1530/acta.0.1130508 ◽

1986 ◽

Vol 113 (4) ◽

pp. 508-513 ◽

Cited By ~ 5

Author(s):

B. Grubeck-Loebenstein ◽

H. Kassal ◽

P. P. A. Smyth ◽

K. Krisch ◽

W. Waldhäusl

Keyword(s):

Lymphocyte Subsets ◽

Thyroid Tissue ◽

Lymphocytic Infiltration ◽

Immunological Parameters ◽

T Lymphocyte Subsets ◽

Iodine Supply ◽

Hla Dr ◽

Iodine Excretion ◽

Group B ◽

Immunological Abnormalities

Abstract. Thyroid growth stimulating immunoglobulins microsomal antibodies and antibodies against thyroglobulin were determined in patients with simple goitre (n = 20) and controls (n = 6) living in an iodine deficient area. In addition, lymphocytic infiltration of thyroid tissue, the amount of the various lymphocyte subsets (Leu 4+, Leu 3a+, and Leu 2a+ T-cells as well as B1+ B cells) in the thyroid gland, as well as the expression of the histocompatibility antigen HLA-DR on thyrocytes and intrathyroidal T-lymphocytes were examined. Goitrous patients were subdivided into two groups according to their individual iodine supply estimated by iodine excretion values, and immunological parameters were compared between patients with low (group A, iodine excretion < 70 μg/24 h) and with higher (group B, iodine excretion> 100 μg/24 h) iodine supply. Thyroid growth stimulating immunoglobulins and antithyroid antibodies were equally prevalent in the two patient groups, but were absent in controls. Lymphocytic infiltration of thyroid tissue was present to a comparable extent in patients of groups A and B, but to a distinctly lower degree in control persons. Intrathyroidal T-lymphocyte subsets did not differ between patients and controls. B-lymphocytes, germinal centres as well as DR+ thyrocytes were detected in goitrous patients of both groups, but never in control persons. Thus, immunological abnormalities frequently occur in patients with simple goitre and do not depend upon individual iodine supply.

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