Congenital goiter with areas of signet ring cell differentiation in a juvenile giraffe: a very rare entity.

BACKGROUND: Congenital goiter is a common thyroid metabolic disorder characterized by low levels of thyroid hormone, subsequent secretion of excess thyroid-stimulating hormone (TSH) from the pituitary gland, and compensatory hyperplasia of the glands. The presence of signet ring cells (SRCs) does not provide sufficient evidence for the diagnosis of a thyroid tumor, making histopathological diagnosis challenging. In addition, SRCs can also appear in congenital goiter. Therefore, a comprehensive diagnosis of congenital goiter is warranted based on clinical symptoms, autopsy, histopathology, and laboratory examination. CASE PRESENTATION: A juvenile giraffe at the Ordos Zoo in Ordos presented with symptoms of loss of appetite, serious salivation, and slow growth rate since birth. Its height and weight were significantly lower than those of other giraffes of the same age. The animal ultimately died at 17 months of age. Autopsy revelaed that the thyroids were hard, with an uneven surface and with the presence of many small raised follicles, and dense in cross-section. Other organs were visibly atrophic. Histopathologically, diffuse follicles were irregular in size and shape in the hyperplastic goiter. Some follicles were collapsed due to lack of colloids. The follicles were lined by single or multiple layers of hyperplastic follicular cells (HFCs), some of which were exfoliated in the lumen. The HFCs were either cuboidal with eosinophilic cytoplasm and many red small granules or showed SRC differentiation, with nuclei pressed to one edge of the cell and distorted by cytoplasmic mucin that appeared as a single clear vacuole HFCs and as a foamy, multivesicular cytoplasmic material in others. Scattered necrosis of myocardial cells and hepatocytes, cerebral hemorrhage, necrosis of intestinal villi, and obvious atrophy of organs were also observed. Immunohistochemical tests were strongly positive for thyroglobulin and thyroid transcription factor-1 (TTF-1) in the cytoplasm of HFCs. CONCLUSIONS: Here we present a case of congenital goiter with areas of SRC differentiation in the thyroid of a juvenile giraffe.

An outbreak of congenital goiter and chondrodystrophy among calves born to spring-calving beef cows.

An outbreak of congenital diffuse hyperplastic goiter and chondrodystrophy occurred among springborn calves at an Angus-based cow-calf operation in southern Alberta. Although these diseases are observed globally in multiple species, reports of their occurrence concurrently are exceptionally rare. A nutritional cause is highly suspected as previous matings between the same sires and dams resulted in apparently normal calves. However, it is unclear if multiple mineral deficiencies manifested as goiter and chondrodystrophy independently or if a primary hypothyroidism inhibited normal fetal growth and skeletal development. This is apparently the first large-scale outbreak of concurrent congenital goiter and chondrodystrophy reported in calves.

Épidémie de goitre congénital et de chondrodystrophie chez des veaux nés de vaches de boucherie mettant bas au printemps. Une épidémie de cas de goitre hyperplastique diffus et de chondrodystrophie est survenue chez des veaux de l'année dans un établissement de vaches-veaux Angus dans le sud de l'Alberta. Bien que ces conditions soient observées globalement chez une multitude d'espèces, la description de leur présence de manière concomitante est exceptionnellement rare. Une cause nutritionnelle est hautement soupçonnée étant donné que des accouplements antérieurs entre les mêmes taureaux et vaches ont produit des veaux apparemment normaux. Toutefois, il n'est pas clair si des déficiences minérales multiples se sont manifestées par du goitre et de la chondrodystrophie de manière indépendante ou si un hypothyroïdisme primaire a inhibé la croissance foetale normale et le développement squelettique. Le cas présent serait apparemment la première épidémie d'envergure concomitante de goitre congénital et de chondrodystrophie rapportée chez des veaux.(Traduit par Dr Serge Messier).

Case report of congenital goitre in a goat kid: Clinical and pathological findings.

Congenital goitre is a deadly thyroid metabolic disorder characterised by low thyroid hormone levels, subsequent secretion of excess Thyroid-Stimulating Hormone (TSH) from the pituitary gland, and compensatory thyroid gland hyperplasia. This study aimed to summarise the clinical and pathological features of congenital goitre in a goat kid. In April 2019, a dead female goat kid with a history of dystocia was referred to Ferdowsi University of Mashhad Veterinary Teaching Hospital, Mashhad, Iran, to examine the carcass and find the reason for death. The necropsy were performed, along with histopathology examination, and clinical signs were recorded. Examination of the foetus revealed the presence of an enlarged thyroid gland, and the skin was thick with myxedema, pale, and without hair. After cutting the skin, the swelling showed a significantly enlarged thyroid gland with two asymmetrical lobes, with the right lobe 3.9×7.1 cm and the left 3.7×7.5 cm in size. In the histopathological examination, a severe proliferation of follicular cells was observed, which caused the thyroid gland to be microscopically dense. In conclusion, this study highlights the importance of recognising and addressing congenital goitre in goat kids. To prevent such tragic outcomes, it is crucial to focus on early detection and intervention. Furthermore, the agents of goitre need to find out and be clear.

Characterization of lesions of nutritional congenital goitre in cattle.

There are few studies that classify and characterize the morphometric and immunohistochemical features of goitre in bovine thyroid glands (TGs). We investigated 39 bovine TGs (fetuses [9], stillbirths [18], neonates [12]) born to dams with low T4 hormone levels and no iodine supplementation and 10 (fetuses [3], stillbirths [3], neonates [4]) born to dams with normal T4 levels and supplemented with iodine. Body weight (BW), TG weight (TGW), TGW:BW ratio and histological lesions were determined. The TGs were classified histopathologically as normal gland (G0), mild goitre (G1), moderate goitre (G2) or severe goitre (G3). Various morphological and morphometric parameters were calculated from microscopic images using image analysis software. Immunohistochemistry was performed to detect proliferating cell nuclear antigen (PCNA). There were significant differences in the TGW:BW ratio among groups (P <0.05): 0.3 ± 0.1 in G0, 0.5 ± 0.3 in G1, 0.8 ± 0.3 in G2 and 1.3 ± 0.7 in G3. In G0, large homogeneous follicles with eosinophilic colloid were seen. In the groups with lesions (G1, G2 and G3), heterogeneity in follicle shape and size, height and area of thyroid follicular cells, height of thyroid follicular epithelium and PCNA immunolabelling were directly related to histopathological grade, with significant differences among groups (P <0.001), gradually increasing from G1 to G3 compared with G0. The TGW:BW ratio and histological grade were positively correlated (P = 0.008).

Goiter with vascular anomalies in a litter of Polish Lowland sheepdogs.

At approximately 4-5 mo of age, three Polish Lowland sheepdog puppies from a single litter of eight puppies presented to their respective primary veterinarians with bilateral subcutaneous masses in their ventral cervical regions. Evaluation, including thyroid function testing, surgical exploration with resection, computed tomography, and angiography, identified the masses as enlarged thyroid glands with severely dilated and abnormal vasculature in the regions of the glands. The dogs were also found to have serum concentrations of thyroid hormones that were below the reference ranges. None of the three dogs showed clinical signs of hypothyroidism, except for the presence of goiter. One dog also had a patent ductus arteriosus that was surgically repaired. All dogs were clinically normal at 2 yr of age. This is the first report of major vascular anomalies associated with goiter in any species. The mechanism is unknown.

Iodine and selenium supplementation increased survival and changed thyroid hormone status in Senegalese sole (Solea senegalensis) larvae reared in a recirculation system.

To test how iodine and both iodine and selenium supplementation affected the thyroid status as well as growth and survival in Senegalese sole, larvae were reared in a recirculation system from 15 to 34 DAH. Sets of three tanks were assigned to each of the following three diets: control (C), iodine (I) and iodine and selenium (I + Se). Samples were collected at 15, 27 and 34 DAH to determine dry weight, iodine and selenium levels, GPx and ORD activities, thyroid hormone levels and thyroid follicles histology. At 34 DAH, fish from the control (C) treatment suffered from hyperplasia of the thyroid follicles (goitre), whereas iodine-treated larvae did not (I and I + Se). Lower survival rates in the C groups were probably a consequence of the hyperplasia. Moreover, there was an improvement in thyroid hormone status in I- and I + Se-treated larvae, showing that further supplementation of live feed with iodine can be crucial for fish at early life stages, as it seems to sustain normal larval development, when reared in a recirculation system. Selenium did not affect the results. Together with previous results, this indicates selenium supplement is more important at younger life stages.

The onset of goiter in several species of sharks following the addition of ozone to a touch pool.

This report describes the onset of goiter in several species of shark following the addition of ozone to a touch pool. A detailed description of a female brown-banded bamboo shark (Chiloscyllium punctatum) that was presented with multinodular goiter is provided. Four other brown-banded bamboo sharks and 11 white-spotted bamboo sharks (Chiloscyllium plagiosum) housed in the same system developed clinical disease consistent with goiter, but two zebra bullhead sharks (Heterodontus zebra) did not. Plasma thyroxine (T4) concentration was 4.64 ng/ml before euthanasia, consistent with a diagnosis of hypothyroidism. The sharks had been chronically exposed to mean (+/- standard error) NO3-N concentrations of 35 +/- 5.12 mg/L before ozonation of the system. Ozonation of aquarium water causes a reduction in environmental iodide, which is required for thyroid hormone synthesis. Nitrate is goitrogenic and would further decrease I- absorption by competitive inhibition. Multinodular goiter is consistent with goiter caused by chronic iodide deficiency. Understanding the interaction between water chemistry and goiter development is critical to development of elasmobranch health management systems.

Incidence of iodine deficiency and congenital goitre in goats and kids of Darreh Garm region, Khorramabad, Iran.

One of the thyroid disorders of ruminants is goitre, which is triggered by iodine deficiency. This study evaluates goitre in the goats of the Darreh Garm region in the vicinity of the Khorramabad city. Three goats with congenital enlarged thyroid glands were referred to the Veterinary Teaching Hospital of the Lorestan University with signs of arrhythmia, dyspnea and anorexia. Clinical examination, radiographic and sonographic evaluations were performed. Afterward, a comprehensive visual observation was accomplished in the outbreak region and blood samples were taken for thyroid hormones measurement in does and kids. Moreover, soil and forage samples were collected to assess the iodine concentration and soil parameters. Results indicated that the thyroid hormone concentration in the serum of the affected does and kids were significantly lower than healthy and treated animals. Treatment with sodium thyroxine significantly increased the concentration of T3 and T4 hormones. Pasture (5.28 ± 1.57 mg/kg) and soil (11.0 ± 1.49 mg/kg) iodine levels were lower than normal levels in this region. Histopathological slides of the thyroid glands from the dead kids indicated thyroid follicles with different sizes and hyperplasia of the glands. Overall, a 0.5 mg/kg iodine in the diet meal of the goats needs to be considered for prevention of the iodine deficiency.

Increasing frequency of thyroid goiters in Coho salmon (Oncorhynchus kisutch) in the Great Lakes.

Coho salmon collected during the 1976 spawning runs from Lakes Michigan, Ontario, and Erie had overt goiter frequencies of 6.3, 47.6, and 79.5%, respectively. These represent significant increases over the frequencies observed in previous years. Epizootiological data suggest that environmental goitrogens (possibly pollutants) may be involved in the etiology of the thyroid disorder.

Thyroid lesions in the great cormorant (Phalacrocorax carbo) of Niigata, central Japan: a possible association with dioxin accumulation.

Necropsy and histopathologic examination of three Great Cormorants (Phalacrocorax carbo) shot in Niigata, central Japan, revealed goitrous changes in the thyroids. Thyroids had a hypertrophic follicular epithelium, loss or deficiency of luminal colloid, occasional small follicles suggesting hyperplasia, and occasional collapsed follicles. Irregularly shaped follicles were frequent, and hyperemia, deposition of dark pigment, and sporadic lymphoid aggregates were also seen. Chemical analysis simultaneously conducted showed higher than normal levels of dioxins in the liver, muscle, and fat, i.e., polychlorinated dibenzo-dioxins, polychlorinated dibenzo-furans, and coplanar polychlorinated biphenyls. The present results, together with those of relevant previous studies, strongly suggest an association between these pollutants and thyroid lesions in the Great Cormorant.

Pathological characteristics of thyroid glands from Japanese Black Cattle living in the restricted area of the Fukushima Daiichi Nuclear Power Plant accident.

To study the effect of ionizing radiation on thyroid glands, 66 Japanese Black cattle residing in the restricted area of the Fukushima Daiichi Nuclear Power Plant in 2013-2017 were pathologically examined. There were no clinical symptoms of thyroid disease in these cattle. Three cases of goiter and seven of atrophy were found in two among the four farms examined. Cases of goiter exhibited normal morphological structure without mass or nodule formation in thyroid glands. Cellular atypia or capsular invasion of the follicular epithelium was absent. The estimated integrated dose of external radiation in goiter cases ranged from maximum 797 mSv to minimum 24 mSv. All lobules in the seven atrophic thyroid glands were affected, but pathological findings, such as inflammatory cell infiltration or stromal fibrosis, were not observed. The estimated integrated dose of external radiation in atrophic thyroids ranged from maximum 589 mSv to minimum 8 mSv. Immunohistochemical analysis of anti-nitroguanosine and the TUNEL method in goiter and atrophic thyroid glands did not reveal any positive findings. The present study indicates that there was no significant relationship between a radiation effect and pathological findings in any thyroid glands.

The avian thyroid gland.

There has been a considerable amount of research regarding the function of the avian thyroid gland, particularly in chickens. There is also more information on diseases of the avian thyroid gland, although it is usually in the form of case reports. This article covers a limited amount of material on the structure and function of the avian thyroid gland and its diseases.

Development and validation of a radioimmunoassay for thyrotropin in cattle.

In mammals, thyrotropin, or thyroid-stimulating hormone (TSH), assay is used for the diagnosis of primary hypothyroidism. Hypothyroidism is the most common type of thyroid disorder in cattle. The aim of this study was to develop and validate, under physiologic and pathologic conditions, a radioimmunoassay (RIA) for bovine TSH (bTSH). Double RIA was performed with purified bTSH and specific bovine antiserum. Laboratory validation included research of minimal detection limit, accuracy, and reproducibility. The physiologic validation included a thyrotropin-releasing hormone (TRH) challenge performed on euthyroid cows and a follow-up of bTSH concentration over a 24-hour period. Furthermore, bTSH concentration was assayed in a large population of healthy dairy and beef cows to define reference interval. The pathologic validation was made by assaying bTSH and thyroid hormones on healthy and goitrous newborn calves. The minimum detection limit (MDL) for bTSH assay was 1.3 microU/ml. The recovery was 101% to 106%. The intra- and interassay coefficients of variation (CVs) ranged from 5% to 11% and 11% to 15%, respectively. The RIA covered the whole range of physiologic bTSH values, as shown by bTSH values induced by TRH-challenge. A pulsatile secretion of bTSH was observed, accompanied by a diurnal variation with lower night values than day values. Reference intervals of bTSH ranged from 1.3 to 13.0 microU/ml for beef and dairy breeds. Finally, bTSH easily discriminated goitrous newborn calves from healthy ones, leading to the definition of a cutoff value of 35 microU/ml. The bTSH assay positively reacted to physiologic and pathologic conditions. The accuracy and precision of the RIA were satisfying.

[Congenital goiter in the neonatal foal. Two case reports. Zwei Fallberichte]. / Kongenitale Struma beim neonatalen Fohlen. Zwei Fallberichte.

Two cases of an innate hyperplastic goiter in foals as well as the sonographic evaluation of the hyperplastic gland are presented. One foal displayed skeletal deformities in the form of a mandibular prognathism and forelimb contractures in addition to the swollen thyroid gland. Because of a poor prognosis, the animal was euthanized. The second foal was premature and displayed respiratory signs. Under symptomatic therapy, the goiter regressed within a few weeks.

Ultrastructure of the thyroid gland in goitered coho salmon (Oncorhynchus kisutch).

Thyroid tissues in coho salmon (Oncorhynchus kisutch) goiters showed marked regional variation in structure and ultrastructure. For the most part the follicles were small, were composed of tall epithelial cells, and contained little or no colloid material. The follicle epithelial cells were essentially similar in fine structure to hyperactive thyroids in mammals and one type of follicle in congenital goiters in humans. A second type of follicle, present in human goiters, was not found in coho salmon. The follicle cells in coho salmon contained dense bodies similar to lysosomes in other species, together with larger organelles which could be colloid droplets. There was also an extensive system of dilated rough endoplasmic reticulum and large areas of Golgi membranes. A marked feature was the presence of homogeneous belectron-dense material in the intercellular spaces between adjacent follicle cells.

Quantitative interlake comparison of thyroid pathology in Great Lakes coho (Oncorhynchus kisutch) and chinook (Oncorhynchus tschawytscha) salmon.

Coho salmon (Oncorhynchus kisutch) and chinook salmon (Oncorhynchus tshawytscha) from Lakes Ontario, Michigan, Erie, or Huron were found to suffer epizootics of thyroid hyperplasia and goiters which appeared to have an environmental etiology. There were 13-fold differences in goiter prevalence within the Great Lakes, and the differences in goiter frequency were correlated with the degree of thyroid hyperplasia. A means of assessing the degree of thyroid hyperplasia (thyroid index) is described, and the derived index was used to facilitate statistical interlake and interspecies comparisons. Despite the hyperplastic (or goitered) condition in all prespawning or spawning Great Lakes salmon, serum thyroid hormone levels were generally higher than in prespawning coho salmon from the Fraser River, British Columbia, indicating that the Great Lakes fish were not necessarily hypothyroid. The hyperplastic lesions appear to undergo progressive changes: (a) large follicles, partly colloid depleted, surrounded by cuboidal epithelial cells; (b) small follicles, largely colloid depleted, surrounded by columnar epithelial cells (in this form, the follicles commonly assume a trabeculate arrangement); (c) "microfollicles" with greatly enlarged columnar epithelial cells encompassing very small follicles; (d) apparently afollicular lesions with little or no colloid in evidence. There was some evidence of benign invasiveness, although the lesions generally resembled simple hyperplastic parenchymatous goiters seen in humans.

The epizootiology and pathogenesis of thyroid hyperplasia in coho salmon (Oncorhynchus kisutch) in Lake Ontario.

The thyroid glands of coho salmon collected at different stages of their anadromous migration exhibited progressive and extensive hyperplasia and hypertrophy. The incidence of overt nodule formation rose from 5% in fish collected in August to 24% in fish collected in October. The histological picture of the goiters was similar to that found in thiourea-treated teleosts and thiouracil-treated mammals. There was a concomitant, significant decrease in serum thyroxine and triiodothyronine values between September and October (thyroxine, 1.0+/-0.3 mug/100 ml and 0.4 mug/100 ml in September and October, respectively; triiodothyronine, 400.3+/-51.6 ng/100 ml and 80.2 ng/100 ml in September and October, respectively) and marked hypertrophy and hyperplasia of thyrotrophs. These data indicate a progressive hypothyroid condition which, although it may be linked to iodide deficiency, may well be enhanced by other environmental factors. The evidence for involvement of other factors is discussed.

Number and types of peptide chains in thyroglobulin: tryptic peptides of noniodinated hog thyroglobulin.

In order to identify the number and types of peptide chains in thyroglobulin, noniodinated 19-S thyroglobulin obtained from goitrogen-treated hogs was exhaustively digested with trypsin (EC 3.4.4.4) after reduction and S-carboxymethylation. The digestion mixture was preliminarily separated into 30 fractions on Sephadex G-100 or G-15 and SE-Sephadex columns. The number of various tryptic peptides contained in each fraction was determined on peptide maps, where spots were detected with ninhydrin for total peptides and with each specific reagent for arginine, histidine or tyrosine-containing peptides. The number of total peptides observed in most of the fractions was estimated to be half the number of lysine plus arginine residues found in each fraction per mole of thyroglobulin, and the number of specific peptides was also close to half the number of each specific amino acid. These findings imply that thyroglobulin has 2-fold symmetry in the structure at the level of tryptic fragments and thus probably at the level of intact peptide chains.

Serum total iodine concentrations in pasture-fed pregnant ewes and newborn lambs challenged by iodine supplementation and goitrogenic kale.

Iodine deficiency can impair the reproductive performance of livestock and affect perinatal mortality of offspring, yet diagnosis of deficiency is complicated and guidelines for I supplementation are imprecise. We challenged pasture-grazing pregnant ewes with a long-acting I supplement and a goitrogenic forage, then monitored their I status during gestation and lactation and in their lambs from birth to weaning. Approximately 46 d into gestation, 376 ewes were assigned to 6 groups comprising 3 supplementation levels × 2 diet regimens. On d 0 the groups received an intramuscular injection of iodized oil providing 0, 300, or 400 mg of I. They grazed until d 23, then half of each supplementation group were fed brassica kale until d 85, then all groups returned to pasture for lambing (parturition approximately d 99) and remained there until weaning (d 192). Serum total I concentration (STIC) was measured repeatedly in 8 'monitor' ewes per group and in their lambs and in milk sampled postpartum. Severity of goiter was determined as the thyroid-weight:birth-weight (TW:BW) ratio in 82 newborn dead lambs. Mean ± SE STIC for all ewes was initially 42 ± 2 (range 24 to 105) µg/L. Diet did not affect I concentrations in ewe serum or milk. Responses to iodized oil were proportional to dose level; STIC increased to approximately 150 and 240 µg/L for the 300- and 400-mg I groups and remained greater than 0-mg I groups for 161 d (P < 0.05). Milk contained 26, 271, and 425 µg I/L for the 0-, 300-, and 400-mg I groups, respectively. Mean STIC of lambs from supplemented ewes did not differ by diet; concentrations for the 300- and 400-mg I groups were 237 and 287 µg I/L at birth, and by weaning all groups were similar (62 ± 3 µg/L). Lamb STIC measured at birth correlated with exposure to I in utero (R(2) = 0.59), which was estimated from the area under the curve (AUC) of ewe STIC measured during the last 99 d of gestation. Thyroid enlargement in lambs affecting the TW:BW ratio was a sensitive indicator of maternal nutrition, being greater with kale feeding (1.27 vs. 0.51 g/kg) and lesser with I supplementation (0.35 vs. 1.44 g/kg). Results support the use of STIC as a biochemical criterion. It was sensitive to the effects of I supplementation with responses in ewes and lambs proportional to dose level and it reflected the relationship between ewe and lamb I metabolism. However STIC did not discriminate between groups of ewes fed pasture vs. goitrogenic forage during pregnancy.

An outbreak of thyroid hyperplasia (goiter) with high mortality in budgerigars (Melopsittacus undulatus).

An outbreak of goiter with high morbidity and mortality in a flock of budgerigars (Melopsittacus undulatus) in California is described. Forty-five out of 400 adult birds exhibited signs of illness, weight loss, and enlargement in the crop area; 15 of the 45 birds died over a 2-3-month period. Diet consisted of a commercial mixture with the addition of broccoli, whole oats, and carrots, but no minerals or supplements. Six budgerigars were subjected to necropsy; all 6 birds had severely enlarged thyroid glands. Thyroid follicular hyperplasia was histologically observed in all birds examined, while granulomatous thyroiditis and microfollicular adenoma were observed in 2 birds, respectively. Virological, bacteriological, parasitological, and heavy metal analyses were negative or within normal limits. The total iodine in the thyroid glands of affected birds was measured by inductively coupled plasma-mass spectrometry. Following iodine supplementation and removal of broccoli from the diet, the owner reported weight gain and a reduced death rate among clinically affected birds; no additional birds became sick. The presence of broccoli with its iodine-binding ability and the complete lack of added minerals in the diet of these animals were thought to be the predisposing factors for the outbreak in the present study. Outbreaks of goiter accompanied by high mortality are rare in any species and, to the best of the authors' knowledge, have not been described previously in any avian species. Recognition of this condition may help improve medical, welfare, and trade standards concerning this species.