sibly related to pachiaat ion exposure,

IV. Thyroid Findings
A. EARLY FINOINGS
Baauninations for possible thycoid alaornialities
were al aportaal partof the progran from Uie be.
winning, At the taae of die aceiderat bt vias pict
considered likely that the dhiervid: had aeecived a
siellisienet (hose al radiodending te cesalt in aloaortndilies. dao reirospeet this proved tu de quite

wrong. since Cha ruid pnjuey and tls sequelae have

Deen the most sertuus date result of the fillaut exe
posure donde Marshidlese people. NV chronoloicul
review of events leading to the development of
thyroid wbnownalities follaws,
Beginning several years alien oapostire it was
meted that oof 19 childrea exposed at 10 years
wage showed retardation of growth.’ "Phin was

pardcularly notable in the boys exposed at <3
vears of age (Pigure 26). Vhe cause of this retarcda-

lion was bot lainediately apparent, [twas recog.

nized that thyroid hornone deficiencyfrom thyroid
injury could result in such growth retardation,
Plawever. examinations duriag this early period did

m,
Figure 27. Growth-retarded boys expowd at age | year
(Ne. 3. deft. and Ne. 3), Ginenths after start of treatment
at oue EL (Leet),

bot reveal aay thyroid abnornaities, and the PLT

levels in these children as well asin all Marshallese
were dathe normal te high range. Phe growth re-

tardation gradually becaune more apparent, and iat
DR pee
Ip
t

=

uo

-

.

Vu
Height (co)

‘

oe Bag at age 125
cece e Cantal geenap

Leb

:

?

Vigure 20. Statural growth io Rongclip dove expames

Figure 20. Rone dvagenesis of heads of hummeri in subject
Sod.) pical of tivpothyroid: disease ¢ 103},

2 eee

at <5 yearns af age, M8. 1007,

wo 0 ae ge et thee POT

2 eee

wt tee

Uh pete

ge ewe A

‘Vhese data also imay be useful asa base line, should
genede changes appear ia later gonerauions, pas

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