Persistence of Goiter despite Adequate Iodine Intake

Objective: To evaluate the state of iodine uptake and frequency of goiter in a previously endemic population after use of iodine salt for ten years. Methodology: In an area in south of Iran following examination of randomly selected 1504, 8-10 year school children, 102 cases with grade 2 or larger goiter were found. One hundred normal cases regarding thyroid examination were also selected as controls. From all 202 children, random urine specimen was assayed for iodine as an indicator of iodide intake. Results: Frequency of goiter grade 2 or larger was 6.8%. Median levels of urinary iodine in goiterous children and controls were 20.00μg/dL and 24.50μg/dL respectively. Values more than 10μg/dL indicate sufficient intake. Frequency of iodine deficiency in patients with goiter was 14.0% vs. 12.7% in control group. There was no statistically significant difference between the two groups (P value=0.748). Conclusion: Iodized salt has been effective to provide acceptable iodide intake but other causes are supposed to be responsible as etiologic factors for persistence of endemic goiter.