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[Goiter in Tahiti].

C Gras1, C Hellec, A Spiegel

  • 1Médecin des Hôpitaux, Centre Hospitalier Territorial de Papeete, Tahiti.

Medecine Tropicale : Revue Du Corps De Sante Colonial
|January 1, 1992
PubMed
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This study on goitre in French Polynesia found it is a common, predominantly female condition. High iodine excretion and thiocyanatemia linked to smoking were observed, with no evidence of iodine deficiency.

Area of Science:

  • Endocrinology
  • Epidemiology
  • Public Health

Background:

  • Goitre prevalence and characteristics were investigated in French Polynesia.
  • Previous studies on goitre in the region were limited.

Purpose of the Study:

  • To determine the epidemiology of goitre in Tahiti.
  • To characterize goitre in Polynesian patients.

Main Methods:

  • Prospective study conducted in 1989.
  • Epidemiological survey in school children and adults.
  • Clinical case study of 39 goitre patients.

Main Results:

  • Goitre prevalence was 1.55% in children and 4.42% in adults.
  • The condition predominantly affected females and was often visible.

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  • High urinary iodine excretion (536 mcg/24 h) and elevated thiocyanatemia (>100 mmol/l) in 25% of patients.
  • No correlation found between cyanogenic food intake and thiocyanatemia.
  • A correlation was observed between thiocyanatemia and smoking.

    • Conclusions:

    • Goitre in Tahiti is a common, primarily female pathology with slow progression.
    • Iodine deficiency is not a contributing factor; high iodine excretion is noted.
    • Elevated thiocyanatemia, potentially linked to smoking, warrants further investigation.