Abstract

It is our desire to present, as far as possible, the indications for the use of iodine in the medical treatment of goiter. Primary Graves’ disease will be mentioned only briefly inasmuch as the administration of iodine in this condition is limited to the preparation of the patient for operation and the prevention of certain post operative complications, and is not in any sense a medical cure. Under the term goiter, we include all enlargements of the thyroid gland, excepting primary exophthalmic goiter, inflammations and malignant neoplasms. In this country, due largely to the investigations of Marine (1), the cause of goiter is believed to be a lack of iodine sufficient to meet the physiological needs of the thyroid gland. In some cases the iodine ingestion and absorption is below that needed for a normal gland function. In others, with a normal iodine intake, the physiological demand for thyroxin is increased by infections, improper diet, endocrine disturbances and growth periods, with the result that th...

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