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  Vol. 158 No. 15, August 10, 1998 TABLE OF CONTENTS
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"Travelers' Thyrotoxicosis" Revisited

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Recently, Liel and Alkan1 reported 2 cases of thyrotoxicosis in young adults who had used iodine-containing preparations to purify water during backpacking trips to Central and South America ("travelers' thyrotoxicosis"). Interestingly, in both cases, serologic test results were positive for thyroperoxidase antibodies, and 1 patient had a family history of immune thyroid disease. The authors postulated a form of iodide-induced thyrotoxicosis, reflecting an inadequate response to an iodide excess in association with a presumed preexisting, asymptomatic, autoimmune thyroid disease. However, this underlying thyroid disease was not serologically or histologically documented in either of the 2 patients.

We report an analogous case with serologically and histologically documented, preexisting, asymptomatic, autoimmune thyroid disease. The patient, a 30-year-old woman, was referred to our division in December 1996 because thyrotoxicosis had been detected 1 month after she had returned from a trip to South and Central America. The patient reported headache, weight loss (3 . . . [Full Text of this Article]



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Effects of Chronic Iodine Excess in a Cohort of Long-Term American Workers in West Africa
Pearce et al.
J. Clin. Endocrinol. Metab. 2002;87:5499-5502.
ABSTRACT | FULL TEXT  





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