Iodine deficiency in the characteristic swelling or hyperplasia of the thyroid gland, or goiter. In mild iodine deficiency, levels of triiodiothyronine (T) may be elevated in the presence of low levels of levothyroxine, as the body converts more of the levothyroxine to triiodothyronine as a compensation. Some such patients may have a goiter, without an elevated TSH. The introduction of iodized salt since the early 1900s has eliminated this condition in many affluent countries; however, in Australia, New Zealand, and several European countries, iodine deficiency is a significant public health problem. It is more common in developing countries. Public health initiatives to
Iodine the iodyl cation, [IO], and is reduced by concentrated sulfuric acids to iodosyl salts involving [IO]. It may be fluorinated by fluorine, bromine trifluoride, sulfur tetrafluoride, or chloryl fluoride, resulting iodine pentafluoride, which also reacts with iodine pentoxide, giving iodine(V) oxyfluoride, IOF. A few other less stable oxides are known, notably IO and IO; their structures have not been determined, but reasonable guesses are I(IO) and [IO][IO] respectively. More important are the four oxoacids: hypoiodous acid (HIO), iodous acid (HIO), iodic acid (HIO), and periodic acid (HIO or HIO). When iodine dissolves in aqueous solution, the following reactions occur: Hypoiodous