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_ children and to other factors it was estimated that the thyroid of a
3 to 4 year old child received 700-1400 rads from radioiodines in
addition to 175 rads of gamma radiat‘on,
that developed in 2 boys

In view of thyroid atrophy

it must be conceded that the doses to the

thyroid in these 2 cases must have been considerably higher.
Early thyroid studies.
Even before the development of thyroid nodules was noted the evaluation
of thyroid status of the exposed individuals received considerable attention
since it was recognized that the slight growth retardation noted in some
of the children might be related to radiation effects on that gland.
However, based on physical examinations and serum PBI and cholesterol
determinations each individual examined was believed to be euthyroid.
Later, studies of serum iodines indicated that the Marshallese normally
possess higher levels of fodoproteins than is usually found in other

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populations.

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Thus the higher than expected PBI values in: some cases

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may have obscured incipient thyroid deficiency at the time of early
observations,

|

Development _of thyroid lesions.

:
;

Nine years after the accident an asymptomatic thyroid nodule was
detected during routine annual physical examinations in a 12 year old
girl and the following year two 13 year old girls who had been exposed
were also found to have nodules of the gland. . Since then increasing

numbers of thyroid abnormalities have appeared in the exposed Rongelap
people.

In 19 people nodularity of the gland has been the prominent

finding while in 2 additional boys atrophy of the gland has developed.

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