Sonomorphologic evaluation of goiter in an iodine deficiency area in the Ivory Coast

Am J Public Health. 1999 Dec;89(12):1857-61. doi: 10.2105/ajph.89.12.1857.

Abstract

Objectives: This study evaluated the extent of thyroid abnormalities in a remote iodine-deficient area of the Ivory Coast.

Methods: Ultrasonography was used in detecting the presence of goiter.

Results: The overall prevalence rates of goiter were 64.7% among females and 53.3% among males. In children aged 6 to 15 years (n = 314), the prevalence of goiter was 62% regardless of sex. Thyroid volume increased steadily with age, with significantly larger goiters in women 25 years and older. Frequency of cysts and calcifications did not correlate with sex.

Conclusions: Especially in developing countries, prophylaxis of iodine deficiency disorders must be improved in iodine-deficient areas to prevent substantial morbidity, which is more severe in women and elderly persons.

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Analysis of Variance
  • Child
  • Cote d'Ivoire / epidemiology
  • Deficiency Diseases / diagnostic imaging
  • Deficiency Diseases / epidemiology
  • Deficiency Diseases / pathology
  • Female
  • Goiter / diagnostic imaging*
  • Goiter / epidemiology*
  • Goiter / pathology
  • Humans
  • Iodine / deficiency*
  • Male
  • Middle Aged
  • Prevalence
  • Sex Distribution
  • Statistics, Nonparametric
  • Thyroid Gland / diagnostic imaging*
  • Thyroid Gland / pathology
  • Ultrasonography

Substances

  • Iodine