Jane lives in Appalachia and suffers from hypothyroidism. Her thyroid gland is enlarged, her body temperature is low, and her hair and skin look brittle and dry. Blood tests show very low levels of circulating iodine, T3, and T4, but high levels of TSH
What is your diagnosis? What treatment would you recommend?
What will be an ideal response?
Jane appears to suffer from nutritional goiter due to insufficient iodine intake. This explains the low thyroid levels, the enlarged thyroid, and the high level of TSH. The recommended treatment would be iodized salt or iodide supplements.
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