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Dietary restriction causing iodine-deficient goitre
  1. Tim Cheetham1,
  2. Emma Plumb2,
  3. James Callaghan3,
  4. Michael Jackson4,
  5. Louise Michaelis5
  1. 1Department of Paediatric Endocrinology, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK
  2. 2Department of Dietetics, North Tyneside General Hospital, Tyne and Wear, UK
  3. 3Department of Dietetics, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK
  4. 4Department of Radiology, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK
  5. 5Department of Paediatric Immunology, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK
  1. Correspondence to Dr Tim Cheetham, Department of Paediatric Endocrinology, Newcastle University, Royal Victoria Infirmary, Newcastle-upon-Tyne NE1 4LP, UK; tim.cheetham{at}


Iodine-deficient goitre was common in some parts of the UK prior to the introduction of salt iodisation. Many contemporary salt preparations do not contain much iodine, and there are renewed concerns about the iodine status of the population. We present a boy with severe allergy who developed goitre and significant thyroid dysfunction in association with an iodine-deficient ‘food-restricted’ diet. The case highlights the importance of a comprehensive nutritional assessment in all children on multiple food restrictions.

  • Allergy
  • Endocrinology
  • Nutrition

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