W. H. ADAMS: LATE MEDICAL CONSEQUENCES OF EXPOSURE TO RADIOACTIVE

Table 3
Skin test responsiveness by radiation exposure group”

Radiation

No. in Each

No.

Tuberculin

Candida

Category

Category

Tested

Negative

Negative

Rongelap

62

38

16 (42.1%)

2 (5.3%)**

Utirik

137

72

Comparison

135

68

39 (54.2%)
35 (51.5%)

0 (0.0%)
2 (2.9%)

* See text for definition of positive and negativetests.
** Two persons, an 83-year-old Rongelap exposed man and a 43-year-old unexposed woman,
had positive tuberculin tests despite negative reactions to Candida antigen.

Table 4
Antithyroid antibodies in the different radiation exposure groups
Exposure
group (n)

Elevated
antithyroglobulin

Percent
elevated

Rongelap (55)

2

4%

Utirik (94)

4

4%

Comparison (82)

2**

2%

* The levels ranged between 6 and 1! U/1, with normal levels being < 5 U/1.
** One subject had elevated antimictrosomal antibodies (35 U/1) and a history of Grave's disease

with hyperthyroidism.

antibodies are less specific indicators of thyroid autoimmunedisease, but are useful as a screening
test. These two antibodies were sought in Marshallese sera. The results indicated no significant
difference among the exposure groups (Table 4). It is notable that in one U.S. study prevalence of
antithyroglobulin antibodies was 4.8% in normal children, and that prevalence increases with age.

These data indicate that autoimmune thyroid disease js not common in the Marshallese, regardless

ee

Cr

P32
on

ra

280

Select target paragraph3