Abstract
Idiopathic non toxic goiter can affect individuals of all ages but is more prevalent in women and often develops especially during pregnancy ort m enopause. Causes of idio pathic non toxic goiter include iodine deficiency, geographic variation, age, gender, genetic predisposition, environmental factors, auto immune factors and hormonal imbalances. Patho physiology includes io dine deficiency, enhanced TSH secretion, thyroid hyperplasia, colloid accumulation and nodular formation. Clinical presentations are neck enlargement, dysphagia, dyspnea, hoarseness and tracheal deviation. Finally it is conclud ed that although idiopathic non toxic goiter is benign, it can result in complications in the absence of treatment along with airway obstruction, bleeding into the thyroid gland and rarely the development of thyroid nodu les.