Talk:Goitre

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Ideal sources for Wikipedia's health content are defined in the guideline Wikipedia:Identifying reliable sources (medicine) and are typically review articles. Here are links to possibly useful sources of information about Goitre.

PubMed provides review articles from the past five years (limit to free review articles)
The TRIP database provides clinical publications about evidence-based medicine.
Other potential sources include: Centre for Reviews and Dissemination and CDC

This article is written in British English, which has its own spelling conventions (colour, travelled, centre, defence, artefact, analyse) and some terms may be different or absent from other varieties of English. According to the relevant style guide, this should not be changed without broad consensus.

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 3 September 2020 and 14 December 2020. Further details are available on the course page. Student editor(s): Shrinwanti Ghosh.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 22:30, 16 January 2022 (UTC)

Add citation to reputable source

Adding a citation to the prognosis section of benign goitre. Jperkins94 (talk) 04:30, 22 January 2020 (UTC)

Adding hyperlinks

Just going to add some hyperlinks in the signs and symptoms section. --Pesanserinus2 (talk) 04:22, 22 January 2020 (UTC)

Merge with endemic goitre

It seems that the information there could be easily incuded into this article.

Agreed. Have transferred anything new in that stub to here, and put in the redirect. Done Steve 19:13, 23 June 2006 (UTC)

This article seems to confuse "endemic goiter", which is largely due to iodine deficiency, with goiter, which means a large thyroid. Some, but not all, goiters are due to nutrition. Pustelnik (talk) 14:41, 25 November 2008 (UTC)

The same picture appears on this page and scrofula

It's the picture of "woman with the disease". The descriptions of the two diseases are very different -- scrofula is attributed to infection while goiter is attributed to iodine deficiency. Both seem to be related to the Latin word _struma_. Is it more appropriate for that picture to appear on the goiter page or at scrofula. I think having it on both is confusing. Tbarron 23:27, 17 August 2006 (UTC)

I have had patients with both diseases. This is a picture of a goitre (goiter). Scrofula involes enlarged lymph nodes in the neck, often draining.Pustelnik 01:31, 15 July 2007 (UTC)

..removed Waylon Smithers from Famous people. come on. fictional simpsons character?

Photograph of Person with Goitre

When severe (e.g. Class III in classification section), this disease can be recognized with the glance of an eye. There is currently a link that is coming up as dead on my computer for a picture of someone with goitre. Unless it is just my firewall causing that problem, any picture would be appreciated. Inthend9 (talk) 03:36, 8 March 2010 (UTC)

Famous goitre sufferers

I was bold and deleted Frank Sinatra and David Hasselhoff because they sounded fishy to me (even though they've been listed for nearly a year). All of the articles for famous sufferers discuss goiters except these two, and a quick internet search found no link other than this article. My apologies if I was overzealous. Hoof Hearted 15:45, 30 January 2007 (UTC)

I removed George Lucas from the list. Nowhere could I find any evidence that he actually has anything other than a peculiarly bulbous neck.Tylerrad (talk) 22:18, 23 September 2008 (UTC)

I removed Rachel Jeantel from the list. It appears to be online conjecture, and, at any rate, she certainly never claimed such a condition had any effect on her testimony. Suspect addition has more to do with recent media attention than anything else. If there is a reliable source, I cannot find it. DarkAsSin (talk) 05:42, 2 August 2013 (UTC)

The spelling "goiter" is preferred, by 2 to 1, over "goitre"

The picture

Entry in Causes-list

Tabled

Treatment section

I moved this treatment section (in bow below) to here, because I think it's inappropriate to have a general treatment section for a condition with many cause-specific treatments, which are better mentioned in the appropriate column in the table in Causes. The antithyroid drugs and the thyroid hormone replacements mentioned are already mentioned, or at least linked, from table in causes-section, but feel free to complement the table if anything important is missing. Mikael Häggström (talk) 12:53, 23 April 2011 (UTC)

Treatment Goitre caused by suspected iodine deficiency is very frequently treated by a combination of levothyroxine and iodine supplementation depending on thyroid hormone levels. Treatment may not be necessary if the goitre is small. Goitre may be related to hyper- and hypothyroidism (especially Graves' disease) and may be reversed by treatment. Graves' disease can be corrected with antithyroid drugs (such as propylthiouracil and methimazole), thyroidectomy (surgical removal of the thyroid gland), and iodine-131 (¹³¹I - a radioactive isotope of iodine that is absorbed by the thyroid gland and destroys it). Hypothyroidism may raise the risk of goitre because it usually increases the production of TRH and TSH. Levothyroxine, used to treat hypothyroidism, can also be used in euthyroid patients for the treatment of goitre. Levothyroxine suppressive therapy decreases the production of TRH and TSH and may reduce goitre, thyroid nodules, and thyroid cancer. Blood tests are needed to ensure that TSH is still in range and the patient has not become subclinically hyperthyroid. If TSH levels are not carefully monitored and allowed to remain far below the lower limits of normal (below 0.1 mIU/L or IU/mL), there is epidemiologic evidence that levothyroxine may increase the risk of osteoporosis and both hip and spinal fractures.^[1] (Such low levels are therefore not intentionally produced for long periods, except occasionally in the treatment of TSH-dependent thyroid cancers.) Thyroidectomy with ¹³¹I may be necessary in euthyroid goitrous patients who do not respond to levothyroxine treatment, especially if the patients have difficulty breathing or swallowing.^{[dubious – discuss]} ¹³¹I, with or without the pre-injection of synthetic TSH, can relieve obstruction and reduce the size of the goitre by thirty to sixty-five percent.^{[citation needed]} Depending on how large the goitre is and how much of the thyroid gland must be removed or destroyed, thyroidectomy and/or ¹³¹I treatment may destroy enough thyroid tissue as to produce hypothyroidism, requiring life-long treatment with thyroid hormone pills.

References

[1]
Annals of Internal Medicine 2001;134:561-568, 3 April 2001 Volume 134 Number 7