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Thiocyanates and iodine in endemic goiter in Italy

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Abstract

Urinary iodine (I) and serum and urinary thiocyanates (SCN) were determined in sample groups from 12 areas of endemic goiter in Italy. The mean urinary I level of 637 subjects with thyroid 0 was 67 ± 31 (mean ± SD) μg/Nter, that of 648 with goiter 54 ± 29 μg/liter. Mean serum and urinary SCN were 2.44 ± 1.36 mg/liter and 2.58 ± 1.36 mg/liter in 887 and 1531 subjects, respectively. The thiocyanates data enabled a distinction to be drawn between two groups (populations). Population I included 73% of the adults and 92% of the school-children (6–16 yr). Its thiocyanate values were logarithmically spread around means of 1.24 ± 0.6 mg/liter (serum) and 1.24 ± 0.57 mg/liter (urine), whereas those of population II were widely dispersed around means of 6.1 ± 3.0 mg/liter and 8.08 ± 5.5 mg/liter respectively. The boundary between the two populations was set at 3 mg/liter urine SCN. This distinction was substantiated by the fact that 90% of those in population II smoked 10 or more cigarettes a day, whereas population I comprised occasionally smokers only. It is believed that only the values in population I can be regarded as representative of thiocyanates either endogenous or due to dietary intake: these values never differed more than 60% regardless of the areas, seasons, or dietary habits. As urinary SCN levels rose, there was also an increase in urinary iodine excretion within certain limits. This, however, did not interfere with thyroid secretion. The urinary l/SCN" ratio was lower in subjects with goiter. This was because their iodine levels were lower, whereas SCN values were much the same in subjects with and without goiter. We have found no correlation between thiocyanate itself and goiter.

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Costa, A., De Filippis, V., Barbeni, M. et al. Thiocyanates and iodine in endemic goiter in Italy. J Endocrinol Invest 7, 103–110 (1984). https://doi.org/10.1007/BF03348398

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