Goitre related to hypermetabolism, (increased metabolism), excessive thyroid hormone, an increase in oxygen consumption, metabolic changes in protein metabolism, immunologic stimulation of diffuse goitre, and ocular changes (exophthalmos). Hypothyroid individuals may have weight gain despite poor appetite, cold intolerance, constipation and lethargy. However, these symptoms are often non-specific and make diagnosis difficult. A goitre may be classified either as nodular or diffuse. Nodular goitres are either of one nodule (uninodular) or of multiple nodules (multinodular). Worldwide, the most common cause for goitre is iodine deficiency, usually seen in countries that do not use iodized salt. Selenium deficiency is also considered a
Roberto Goitre Roberto Goitre Roberto Goitre (Turin, 1927 - Piacenza, 1980) was an Italian choirmaster, composer and teacher. Upon finishing his academic studies, Goitre devoted himself entirely to choral conducting. At the beginning of the 1960s, on invitation from Marcello Abbado, he became director of the choir of the "Giuseppe Nicolini" Conservatoire in Piacenza, where he taught until his death in 1980. In the 1970s Goitre turned his attention to the musical pedagogy of Zoltán Kodály and spent a significant amount of time in Hungary carrying out research. He also widened his knowledge of Italian and Hungarian folk tunes, which he made