在德国东部地方病区显示出持续的饮食碘缺乏,尤其在老年人,年龄超过60岁的581名患者经超声检查,有48.8%患有甲状腺肿大,101名患者有甲状腺结节,另有43名有囊性损伤。老年甲状腺肿患者比青少年患者对左旋甲状腺素的反应明显的低,因此这种药物的用量应因人而异。老年患者缺碘性甲状腺肿的特殊问题是甲状腺自主性功能结节随年龄增加而发展。碘污染可造成甲状 In the endemic areas of eastern Germany, a persistent dietary iodine deficiency was demonstrated, especially in the elderly, 581 patients over the age of 60 were ultrasonographed, 48.8% had goiter, 101 had thyroid nodules, and 43 Name cystic injury. Elderly goiter patients than young patients with levothyroxine response was significantly lower, so the amount of this drug should vary from person to person. A special problem for iodine-deficient goiter in elderly patients is that thyroid autonomous functional nodules develop with age. Iodine pollution can cause thyroid