Goitre in iodine in the soil. For example, in the English Midlands, the condition was known as Derbyshire Neck. In the United States, goitre was found in the Great Lakes, Midwest, and Intermountain regions. The condition now is practically absent in affluent nations, where table salt is supplemented with iodine. However, it is still prevalent in India, China, Central Asia, and Central Africa. Goitre had been prevalent in the alpine countries for a long time. Switzerland reduced the condition by introducing iodised salt in 1922. The Bavarian tracht in the Miesbach and Salzburg regions, which appeared in the 19th century, includes
Pseudo-goitre Pseudo-goitre Pseudo-goitre is the apparent fullness of the front part of the neck. It may be mistakenly diagnosed as thyroid enlargement. The cause for pseudogoitre can be fat tissue of the neck, cervical lordosis, cervical masses (such as cervical lymphadenopathy, branchial cleft cyst, pharyngeal diverticulum) or high lying thyroid or trachea. Pseudogoitre due to cervical lordosis (swan shaped-neck) is called Modigliani syndrome after the artist Amedeo Modigliani, who was famous for painting women with exaggerated curved neck. Pseudogoitre can be distinguished from other disease conditions of the neck by physical examination. Normal thyroid moves up with swallowing, and any structure