The spectrum of thyroid disorders at the Endocrine Clinic of Olabisi Onabanjo University Teaching Hospital, Sagamu, South-west, Nigeria

ABSTRACT

Background:Thyroid disorders constitute the second most common endocrine disordersworldwide, butthey are less commonly researched in thisenvironmentdue to low cost-effectiveness.Objective:Tostudy thespectrumofthyroid disordersat the EndocrinologyClinic ofa tertiary health facility in Sagamu, South-west, Nigeria,over two years.Method:Thisretrospectivestudywas conducted onallnewclinic attendees with thyroid disordersbetweenJanuary 2016 andDecember 2017.The data retrieved included clinicaldata,results of thyroid function tests and thyroid ultrasonographic scan.The patients weregroupedclinically into euthyroid, hypothyroid and thyrotoxicstates.Results:A total of 93 thyroid caseswereseen, and this constituted13.64% ofallnewendocrine consultations (682 patients).Themean age(±SD; range)of the patients was 37.6 (13.6; 15-78)years.Majority of the patients were females witha female-to-maleratio of 4.51.Out of these,77.4% hadGoitrous enlargement.Thyrotoxicosis wasthe most commonform of thyroid dysfunction,(72; 77.40%), mainly duetohyperthyroidism from Graves'disease(50; 69.44%),followed by toxic multinodular goitre (12; 16.67%),toxic solitary nodular goiter (5; 6.94%) andothers (5; 6.95 %).Hypothyroidism constituted 10.75%while euthyroid goitre constituted 11.85% of all thyroid cases.Conclusion:Auto-immune thyroiddisease remains the most common thyroid disorder amongendocrineclinicattendees. There isa needfor furtherstudies to elucidatethe likely aetiologies