Pharmacy Clinical Pearl of the Day: Goiter

A goiter may be associated with an increase or decrease in thyroid hormones.

Clinical Pearl of the Day: Goiter

A goiter is the irregular growth of the thyroid gland.

Insight:

  • The thyroid is a butterfly-shaped gland located at the base of the neck just below the Adam's apple.
  • A goiter may be an overall enlargement of the thyroid or it may be the result of irregular cell growth that forms 1 or more lumps (nodules) in the thyroid.
  • A goiter may be associated with no change in thyroid function or with an increase or decrease in thyroid hormones.
  • The most common cause of goiters worldwide is a lack of iodine in the diet.
  • In the United States, where the use of iodized salt is common, goiters are caused by conditions that change thyroid function or factors that affect thyroid growth.
  • Symptoms may include fatigue, sensitivity to cold, sleepiness, dry skin, constipation, muscle weakness, and others.
  • Risk factors may include being female, age, and family history of goiter.
  • Treatment includes Levoxyl, Cytomel, Tapazole, which will increase or decrease the hormone levels, depending on the treatment plan chosen.

Sources:

Goiter - Symptoms and causes - Mayo Clinic

goiter image - Google Search