| Chapter 11 Other health problems |
| tobacco reference guideg (artefact pour |
| Other health problems: Thyroid Disease |
| globalink (artefact pour saut de ligne) |
| Smoking decreases both thyroid secretion and thyroid hormone action in women with |
| hypothyroidism. Smoking does not cause hypothyroidism, but increases its severity. |
| The most dramatic effect of smoking on the thyroid is its association with Graves' |
| hyperthyroidism. The odds ratio for smoking among patients with Graves' |
| hyperthyroidism with and without opthalmopathy were 7.7 and 1.9, respectively, and |
| smokers had more severe eye disease. |
| NEJM, October 12, 1995, p. 1001 |
| tobacco reference guideg (artefact pour saut |
| Graves' disease is associated with an overactive thyroid gland and often a swelling of |
| muscles behind the eyes that makes them bulge out (as with the actor, the late Marty |
| Feldman). 81% of a survey population with Graves' disease were smokers, and the |
| incidence of the disease was 7.7 times higher in smokers. Of the 27 people with the |
| worst form of the disease, 26 were smokers. |
| American Medical News, February 1, 1993 |
| tobacco reference guideg (artefact pour saut |
| Page 28 of 32 |
| globalink (artefact pour saut de ligne) |
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