1
|
Schulte J, Hotz G, Szinnai G, Christ E, Foderà G, Krüsi K, Nussberger P, Kron S, Schulz I. Exploring the potential of genetic analysis in historical blood spots for patients with iodine-deficient goiter and thyroid carcinomas in Switzerland and Germany (1929-1989). BMC Med Genomics 2024; 17:171. [PMID: 38943113 PMCID: PMC11212273 DOI: 10.1186/s12920-024-01947-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Accepted: 06/21/2024] [Indexed: 07/01/2024] Open
Abstract
Iodine deficiency-induced goiter continues to be a global public health concern, with varying manifestations based on geography, patient's age, and sex. To gain insights into clinical occurrences, a retrospective study analyzed medical records from patients with iodine deficiency-induced goiter or thyroid cancer who underwent surgery at the Community Hospital in Riehen, Switzerland, between 1929 and 1989. Despite today's adequate iodine supplementation, a significant risk for iodine-independent goiter remains in Switzerland, suggesting that genetic factors, among others, might be involved. Thus, a pilot study exploring the feasibility of genetic analysis of blood spots from these medical records was conducted to investigate and enhance the understanding of goiter development, potentially identify genetic variations, and explore the influence of dietary habits and other environmental stimuli on the disease.Blood prints from goiter patients' enlarged organs were collected per decade from medical records. These prints had been made by pressing, drawing, or tracing (i.e., pressed and drawn) the removed organs onto paper sheets. DNA analysis revealed that its yields varied more between the prints than between years. A considerable proportion of the samples exhibited substantial DNA degradation unrelated to sample collection time and DNA mixtures of different contributors. Thus, each goiter imprint must be individually evaluated and cannot be used to predict the success rate of genetic analysis in general. Collecting a large sample or the entire blood ablation for genetic analysis is recommended to mitigate potential insufficient DNA quantities. Researchers should also consider degradation and external biological compounds' impact on the genetic analysis of interest, with the dominant contributor anticipated to originate from the patient's blood.
Collapse
Affiliation(s)
- Janine Schulte
- Health Department Basel-Stadt, Institute of Forensic Medicine, University Basel, Pestalozzistrasse 22, Basel, 4056, Switzerland
| | - Gerhard Hotz
- Natural History Museum Basel, Augustinergasse 2, Basel, 4001, Switzerland
| | - Gabor Szinnai
- Pediatric Endocrinology/Diabetology, University Children's Hospital Basel UKBB, University of Basel, Basel, 4056, Switzerland
| | - Emanuel Christ
- Division of Endocrinology, Diabetology, Metabolism and Center of Endocrine and Neuroendocrine Tumors, University Hospital Basel, Basel, 4056, Switzerland
| | - Gaspare Foderà
- Documentation Center, Municipal Administration, Riehen, 4125, Switzerland
| | - Karl Krüsi
- Documentation Center, Municipal Administration, Riehen, 4125, Switzerland
| | | | - Sarah Kron
- Health Department Basel-Stadt, Institute of Forensic Medicine, University Basel, Pestalozzistrasse 22, Basel, 4056, Switzerland
| | - Iris Schulz
- Health Department Basel-Stadt, Institute of Forensic Medicine, University Basel, Pestalozzistrasse 22, Basel, 4056, Switzerland.
| |
Collapse
|
3
|
Al-Dajani N, Wootton SH. Cervical Lymphadenitis, Suppurative Parotitis, Thyroiditis, and Infected Cysts. Infect Dis Clin North Am 2007; 21:523-41, viii. [PMID: 17561081 DOI: 10.1016/j.idc.2007.03.004] [Citation(s) in RCA: 64] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Neck masses are common and have a variety of infectious agents and noninfectious causes. This article reviews the more common infectious causes of neck masses-cervical lymphadenitis, suppurative parotitis, thyroiditis, and infected cysts. Important clinical pearls, diagnostic evaluation including laboratory studies, and imaging are summarized. Methods for prevention are highlighted.
Collapse
Affiliation(s)
- Nawaf Al-Dajani
- Division of Infectious and Immunological Diseases, Department of Pediatrics, BC Children's Hospital, 4480 Oak Street, University of British Columbia, Vancouver, BC V6H 3N1, Canada
| | | |
Collapse
|
4
|
Scharf JL, Ahmad SM, Gaughan JP, Soliman AMS. Thyroidectomy for Graves' Disease: A Case-Control Study. Ann Otol Rhinol Laryngol 2006; 115:902-7. [PMID: 17214264 DOI: 10.1177/000348940611501208] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objectives: The most common treatment for Graves' disease in the United States is radioactive iodine. Surgery is performed rarely. The surgery for Graves' disease is usually considered technically difficult. Our goal was to assess the differences in outcomes in patients with Graves' disease who underwent thyroidectomy and in patients without Graves' disease who underwent the same procedures. Methods: A retrospective chart review was performed of patients who underwent surgery for Graves' disease between 1997 and 2005. A control group of age-matched and thyroid size-matched patients who underwent thyroidectomy for a diagnosis other than Graves' disease was identified. The groups were statistically compared with respect to length of hospital stay, operative time, and estimated blood loss. Comparison with the published literature was also performed. Results: Eleven patients underwent thyroidectomy for a diagnosis of Graves' disease. The operative time, estimated blood loss, and length of hospitalization did not differ significantly from those of the control patients. Three of the 4 complications that occurred, however, were in the 3 patients with persistent hyperthyroidism despite medical therapy at the time of surgery. Conclusions: Thyroidectomy may be performed relatively safely for selected euthyroid patients with Graves' disease. In those with persistent hyperthyroidism at surgery, there were more complications.
Collapse
Affiliation(s)
- Joshua L Scharf
- Department of Otolaryngology-Head and Neck Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania 19140, USA
| | | | | | | |
Collapse
|