Citations 0
Editor's Correspondence
August 10/24, 1998

"Travelers' Thyrotoxicosis" Revisited

Author Affiliations

Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1998

Arch Intern Med. 1998;158(15):1723. doi:

Recently, Liel and Alkan1 reported 2 cases of thyrotoxicosis in young adults who had used iodine-containing preparations to purify water during backpacking trips to Central and South America ("travelers' thyrotoxicosis"). Interestingly, in both cases, serologic test results were positive for thyroperoxidase antibodies, and 1 patient had a family history of immune thyroid disease. The authors postulated a form of iodide-induced thyrotoxicosis, reflecting an inadequate response to an iodide excess in association with a presumed preexisting, asymptomatic, autoimmune thyroid disease. However, this underlying thyroid disease was not serologically or histologically documented in either of the 2 patients.

First Page Preview View Large
First page PDF preview
First page PDF preview