Talk:Goitre

Wiki Education Foundation-supported course assignment
This article was the subject of a Wiki Education Foundation-supported course assignment, between 3 September 2020 and 14 December 2020. Further details are available on the course page. Student editor(s): Shrinwanti Ghosh.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 22:30, 16 January 2022 (UTC)

Add citation to reputable source
Adding a citation to the prognosis section of benign goitre. Jperkins94 (talk) 04:30, 22 January 2020 (UTC)

Adding hyperlinks
Just going to add some hyperlinks in the signs and symptoms section. --Pesanserinus2 (talk) 04:22, 22 January 2020 (UTC)

Merge with endemic goitre
It seems that the information there could be easily incuded into this article.

Agreed. Have transferred anything new in that stub to here, and put in the redirect. Done Steve 19:13, 23 June 2006 (UTC)

This article seems to confuse "endemic goiter", which is largely due to iodine deficiency, with goiter, which means a large thyroid. Some, but not all, goiters are due to nutrition. Pustelnik (talk) 14:41, 25 November 2008 (UTC)

The same picture appears on this page and scrofula
It's the picture of "woman with the disease". The descriptions of the two diseases are very different -- scrofula is attributed to infection while goiter is attributed to iodine deficiency. Both seem to be related to the Latin word _struma_. Is it more appropriate for that picture to appear on the goiter page or at scrofula. I think having it on both is confusing. Tbarron 23:27, 17 August 2006 (UTC)

I have had patients with both diseases. This is a picture of a goitre (goiter). Scrofula involes enlarged lymph nodes in the neck, often draining.Pustelnik 01:31, 15 July 2007 (UTC)

..removed Waylon Smithers from Famous people. come on. fictional simpsons character?

Photograph of Person with Goitre
When severe (e.g. Class III in classification section), this disease can be recognized with the glance of an eye. There is currently a link that is coming up as dead on my computer for a picture of someone with goitre. Unless it is just my firewall causing that problem, any picture would be appreciated. Inthend9 (talk) 03:36, 8 March 2010 (UTC)

Famous goitre sufferers
I was bold and deleted Frank Sinatra and David Hasselhoff because they sounded fishy to me (even though they've been listed for nearly a year). All of the articles for famous sufferers discuss goiters except these two, and a quick internet search found no link other than this article. My apologies if I was overzealous. Hoof Hearted 15:45, 30 January 2007 (UTC)
 * I removed George Lucas from the list. Nowhere could I find any evidence that he actually has anything other than a peculiarly bulbous neck.Tylerrad (talk) 22:18, 23 September 2008 (UTC)
 * I removed Rachel Jeantel from the list. It appears to be online conjecture, and, at any rate, she certainly never claimed such a condition had any effect on her testimony. Suspect addition has more to do with recent media attention than anything else. If there is a reliable source, I cannot find it. DarkAsSin (talk) 05:42, 2 August 2013 (UTC)

The spelling "goiter" is preferred, by 2 to 1, over "goitre"
Google hits:

Goiter = 1,170,000 "goitre" = 560,000

Among scientists, the preference seems slightly greater:

Google hits:

"Goiter + placebo" = 63,200

"Goitre + placebo" = 27,300 —Preceding unsigned comment added by 67.101.68.85 (talk • contribs) 01:03, 23 August 2007


 * Irrelevant what the hits are, Google will merely reflect Amercian usage over other English speaking areas. The spelling is dependant on which version of English: "Goitre" is used in British English, and "Goiter" is American English. Convention in wikipedia is to leave spelling in whichever version the article first uses - see Naming conventions (use English). David Ruben Talk 00:49, 23 August 2007 (UTC)


 * That doesn't work. Try searching "weiner" vs "wiener". The incorrect spelling is more popular. - Gargomon251 (talk) 04:06, 7 April 2009 (UTC)


 * That's a misinterpretation of Google's naming conventions. The conventions actually say to FIRST use whichever term would be least surprising to a visitor to the article, and that Google's hit-count is unreliable, not irrelevant, and may be used to demonstrate that no particular spelling dominates. In this case, Google shows no such thing. In such cases, the preference for spelling as used in *reliable sources* should prevail. 24.176.175.50 (talk) 20:05, 24 May 2011 (UTC)


 * I have no opinion for either, but I've always thought the former was "preferred". Jimw338 (talk) 14:54, 22 October 2013 (UTC)


 * What about pubmed? "goitre" returns 4031 results, "goiter" returns 20650 . --73.49.135.193 (talk) 15:37, 18 May 2014 (UTC)

What about people who suffre goitre? —ᚹᚩᛞᛖᚾᚻᛖᛚᛗ ( ᚷᛖᛋᛈᚱᛖᚳ ) 05:18, 27 April 2011 (UTC)

The picture
Is it really a good picture for this article? A woman with a Goitre as big as a football is hardly representative for the desease! Change it for something more normal, this is a very old picture from a very different time when the doctors went around in villages taking pictures of "strange stuff" they found and what not. Seriously, according to photo info the photographer died in 1930.
 * I would second that - it does focus the reader too much on extreme cases. However the article covers also simple struma nodosa and similar. Richiez (talk) 20:59, 4 February 2011 (UTC)
 * Added another more realistic pictures so I think it is ok now to add back this picture. Richiez (talk) 11:30, 11 February 2011 (UTC)
 * Indeed, it's good to see both the extreme case and the more subtle that is more likely the the one seen at the time of diagnosis. Mikael Häggström (talk) 11:05, 23 April 2011 (UTC)

Entry in Causes-list
I moved the entry "thyroid autonomy" from the Causes-list to here, because I think it needs some clarification before reinsertion. Primarily, what distinguishes this cause from malignancies, Graves' disease or other conditions mentioned that cause the thyroid to produce hormones independent from regulation from the pituitary? Mikael Häggström (talk) 11:08, 23 April 2011 (UTC)

Rephrased a couple of words within this paragraph. — Preceding unsigned comment added by Michael.addis26 (talk • contribs) 10:23, 22 January 2020 (UTC)

Tabled
I made a sortable table of causes instead, rather than having a separate classification for every characteristic mentioned. Hopefully, missing boxes will be filled in time. Mikael Häggström (talk) 12:23, 23 April 2011 (UTC)

While the information provided about overall survival rates for thyroid cancer is technically accurate, it can be misleading - since over 80% of thyroid cancer cases are papillary and the vast majority of these have a survival rate of close to 100%. See http://books.google.com/books?id=OX0OPl1-i4QC&printsec=frontcover&dq=thyroid+cancer&hl=en&sa=X&ei=sH_GUNW2NeaziwLVhICYDw&ved=0CEYQ6AEwBQ#v=onepage&q=thyroid%20cancer&f=false — Preceding unsigned comment added by Rogerwhitson (talk • contribs) 00:51, 11 December 2012 (UTC)

Treatment section
I moved this treatment section (in bow below) to here, because I think it's inappropriate to have a general treatment section for a condition with many cause-specific treatments, which are better mentioned in the appropriate column in the table in Causes. The antithyroid drugs and the thyroid hormone replacements mentioned are already mentioned, or at least linked, from table in causes-section, but feel free to complement the table if anything important is missing. Mikael Häggström (talk) 12:53, 23 April 2011 (UTC) {|class="wikitable"

Treatment
Goitre caused by suspected iodine deficiency is very frequently treated by a combination of levothyroxine and iodine supplementation depending on thyroid hormone levels.

Treatment may not be necessary if the goitre is small. Goitre may be related to hyper- and hypothyroidism (especially Graves' disease) and may be reversed by treatment. Graves' disease can be corrected with antithyroid drugs (such as propylthiouracil and methimazole), thyroidectomy (surgical removal of the thyroid gland), and iodine-131 (131I - a radioactive isotope of iodine that is absorbed by the thyroid gland and destroys it). Hypothyroidism may raise the risk of goitre because it usually increases the production of TRH and TSH. Levothyroxine, used to treat hypothyroidism, can also be used in euthyroid patients for the treatment of goitre. Levothyroxine suppressive therapy decreases the production of TRH and TSH and may reduce goitre, thyroid nodules, and thyroid cancer. Blood tests are needed to ensure that TSH is still in range and the patient has not become subclinically hyperthyroid. If TSH levels are not carefully monitored and allowed to remain far below the lower limits of normal (below 0.1 mIU/L or IU/mL), there is epidemiologic evidence that levothyroxine may increase the risk of osteoporosis and both hip and spinal fractures. (Such low levels are therefore not intentionally produced for long periods, except occasionally in the treatment of TSH-dependent thyroid cancers.)

Thyroidectomy with 131I may be necessary in euthyroid goitrous patients who do not respond to levothyroxine treatment, especially if the patients have difficulty breathing or swallowing. 131I, with or without the pre-injection of synthetic TSH, can relieve obstruction and reduce the size of the goitre by thirty to sixty-five percent. Depending on how large the goitre is and how much of the thyroid gland must be removed or destroyed, thyroidectomy and/or 131I treatment may destroy enough thyroid tissue as to produce hypothyroidism, requiring life-long treatment with thyroid hormone pills.
 * }

Does this make sense?
In the "Goitre[sic] in Fiction" section, there is this sentence: "In the Simpsons episode ... until Mr. Burns had accidentally once cancelled when he terminated the power plant's employee prescription drug plan." [Emphasis mine] Unless this is an example of British construction, I think someone left a word out or something.

Actually, the whole subject of goiters in fiction doesn't really make sense. Unless it was a plot point in a landmark film (e.g., if in Citizen Kane, Rosebud was the name of his mother's goiter), then I don't see why such a section is needed. 209.179.21.14 (talk) 21:53, 19 July 2014 (UTC)

Move from Goitre to Goiter
Wikipedia official policy from WP:ENGLISH:

"The title of an article should generally use the version of the name of the subject which is most common in the English language, as you would find it in reliable sources (for example other encyclopedias and reference works, scholarly journals, and major news sources)."

"Goiter" is the most common term for the condition. "Goiter" is substantially more popular in scientific usage (Pubmed: 8000 vs 1500 results in the last two decades of papers) and common usage (Google: 3.6 vs 2 million results.) This holds up for pretty much every site I check, including social media (more than twice as popular on Twitter for example). Medical reference sites overwhelmingly reference it as "goiter", with the exception of a few targeted to the UK.

Popular search usage also strongly favores "Goiter"; it is searched 258% more than Goitre. Having this page at "Goitre" ensures that it will only be found when searching for the less popular British spelling, which is unfortunate. Thus, this page should be moved to "Goiter". OwenVersteeg (talk) 21:55, 4 September 2020 (UTC)


 * I very much agree. I can't recall ever having seen any other spelling than "goiter" in my long life until I got redirected unpleasantly to this article. Both of the encyclopedias I own (Columbia and Van Nostrand Scientific) use "goiter" and don't mention "goitre" as an alternative. Eleuther (talk) 11:51, 16 September 2021 (UTC)
 * I agree. Article belongs at Goiter. Need an admin to assist. 146.112.47.80 (talk) 20:26, 25 January 2022 (UTC)
 * But it's originally a French word? Our Wiktionary article has "goiter" as the alternative spelling. -- &oelig; &trade; 06:40, 29 January 2022 (UTC)

Missing Molecular Aspect of Goitre
Oxidative burden, DNA damaging, and mutagenesis often occur in thyroid disorder. The article did not mention the molecular aspect of Goitre. Even it's not mentioned that how Goitre affects the immune system (B cells, T cells, antigen-presenting cell). Shrinwanti Ghosh (talk) 02:06, 2 October 2020 (UTC)

Home Economics
causes of deficiency 105.4.4.111 (talk) 17:13, 17 January 2022 (UTC)

Goitre Is a goiter dangerous to the point that a person could die? 41.116.111.132 (talk) 21:22, 27 March 2023 (UTC)