Assessment of the clinical concern about the non-malignant thyroid disorders in Sulaimaniyah City-Kurdistan Region-Iraq

الملخص EN

Background: Non-malignant thyroid disorder is a common problem in many parts of the globe and affects different organ systems of the human body even proved to cause growth and mental retardation .These disorders are differences in frequency of clinical forms in iodine deficiency and saturated areas in iodine of the world.

Sulaimaniyah city, Kurdistan Region- North Iraq is a known mountainous iodine deficient region.Aim of the study: was undertaken with an objective to assess the spectrum of clinical concern of non-malignant euthyroid disorders in correlation with thyroid serological blood tests in Sulaimaniyah city.

Methodology: A cross sectional study was conducted for the clinical presentation, risk factors and different hematological investigations in patients attending surgical private clinic in Sulaimaniyah.

On 115 patients (101 female & 14 males) of non-malignant thyroid disorders during the period of six months from July 1st to December 31st 2018; They were subjected to detailed clinical examination and biochemical blood tests.

Result: From 115 patients (female/male ratios: 7/1) presented with the functional classification thyroid disorder as follows: Hyperthyroidism 44.3%, hypothyroidism 35.7% and with clinical thyroid enlargement or nodule but thyroid (functionally with normal thyroid function tests) 20%.

The most common age of presentation is between 20-40 years, followed by 20 years.

Female marital state, number of childbearing and a different geographical region in the city has no significant role in the different thyroid disorders.

Body Mass Index (BMI) in 88.7% of the patients was above normalConclusion: Thyroid disorders appear in earlier age especially in female than male patients.

There is neither prevalence difference of the disease of Sulaimaniyah city center and periphery of the city nor in high mountain area and hill areas in rural area.

Co- morbid Diabetes mellitus (DM) and pre-diabetes are more common in thyroid disorders and their families than normal.

Thyroid cancer is more common in thyroid disorder families than the normal population.

Recommendation: Accurate evaluation of the effect of salt iodination on changing thyroid disorder habits.

In family history of thyroid disorders not only first degree, but second degree relatives also should be aware of.

Further wider studies suggested for these important disorders.

These warrants further study.