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Toxic multinodular goiter (TMNG), also known as multinodular toxic goiter (MNTG), is an active multinodular goiter associated with hyperthyroidism.. It is a common cause of hyperthyroidism [2] [3] in which there is excess production of thyroid hormones from functionally autonomous thyroid nodules, which do not require stimulation from thyroid stimulating hormone (TSH).
Causes: Iodine deficiency: Endemic goitre is a type of goitre that is associated with dietary iodine deficiency. [1] [2] Cause. Some inland areas, where soil and ...
Goitre is more common among women, but this includes the many types of goitre caused by autoimmune problems, and not only those caused by simple lack of iodine. [22] Iodine mainly accumulates in the sea and in the topsoil. Before iodine enrichment programs, goiters were common in areas with repeated flooding or glacial activities, which erodes ...
Before 1950 goiter was a widespread disease caused by iodine deficiency. [40] Up to 80 percent of the population were affected in inland areas. In the coastal communities, saltwater fish were an important part of the diet, and because of the presence of iodine in seawater, goiter was less common than in the inland districts.
T 3 and T 4 are partially composed of iodine, derived from food. [2] A deficiency of iodine leads to decreased production of T 3 and T 4, enlarges the thyroid tissue and will cause the disease known as simple goitre. [3] The major form of thyroid hormone in the blood is thyroxine (T 4), whose half-life of around one week [4] is longer than that ...
The causes of malnutrition are directly linked to inadequate macronutrient consumption and disease, and are indirectly linked to factors like "household food security, maternal and child care, health services, and the environment".
Diffuse goiter may be seen with other causes of hyperthyroidism, although Graves' disease is the most common cause of diffuse goiter. A large goiter will be visible to the naked eye, but a small one (mild enlargement of the gland) may be detectable only by physical examination.
Poverty is one of the major social determinants of health. The World Health Report (2002) states that diseases of poverty account for 45% of the disease burden in the countries with high poverty rate which are preventable or treatable with existing interventions. [2] Diseases of poverty are often co-morbid and ubiquitous with malnutrition. [3]