Home About us Editorial board Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 773
  • Home
  • Print this page
  • Email this page
ARTICLE
Year : 2005  |  Volume : 12  |  Issue : 4  |  Page : 245-249

Clinical features of goitres on the Nigerian Plateau


College of Medicine of the University of Lagos, Lagos, Nigeria

Correspondence Address:
E Chuhwak
College of Medicine of the University of Lagos, Lagos
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

To describe the prevalence, clinical types and aetiology of goitre among hospital patients on the Nigeria highland area of Plateau. Subjects, materials and methodology: Adult out-patients attending the medical, surgical and general outpatient clinics of the Jos University Teaching Hospital (JUTH) were prospectively examined for the presence of goitre. Goitrous patients were subjected to further evaluation. Goitre was graded according to the WHO (1979) criteria (grades 0 - 4) and characterised as to lobarity, nodularity, consistency, tenderness, mobility of overlying skin and presence of bruit as well as hormonal functional status.RESULTS: 3,000 outpatients were examined, 124 (4.1%) of which were goitrous. Of the goitrous patients 98 (84F, 14M) had full data to be eligible for further analysis. The goitrous patients were distributed according to goitre grade as follows: grade one 10 (10.2%), grade two 62 (63.3%), grade three 22 (22.5%) and grade four 4 (4.1%). Both right and left lobes were enlarged in 91 (92.9%) subjects. Enlargement was limited to the right lobe in one patient with 3 (3.1%) patients each showing goitre limited to the left lobe and the isthmus. Palpably nodular goitre was found in 21 (21.4%) patients while the large majority of 78.6% showed a diffuse enlargement. The goitre was firm in 55% of cases and soft in 27.5% of patients. Goitre was associated with thyrotoxicosis in 10 (10.2%) patients, carcinoma in 2(2.1%), thyroid cyst in 2(2.1%) and thyroiditis in 6(6.1%) patients. CONCLUSION: Goitre is common among out-patients on the Nigerian plateau, with a characteristic female preponderance. WHO grade 2 goitre is the most common form. Thyrotoxicosis is relatively common among the goitrous patients. Patients attending hospital in goitre-endemic areas should be routinely examined for thyroid enlargement and those found goitrous subjected to endocrine evaluation.


[PDF Not available]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed232    
    Printed4    
    Emailed0    
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal