title: A cluster of thyrotoxicosis associated with consumption of a soy milk product.
abstract: OBJECTIVE
  To determine whether a New Zealand cluster of thyrotoxicosis with low uptake on scintiscan was associated with soy milk consumption.
  
  
  METHODS
  A case-control study was conducted, with controls matched by age, sex, and region.
  
  
  RESULTS
  All cases (5/5) and one control (1/30) consumed soy milk before the index date. The cases all drank a brand of soy milk that had unexpectedly high levels of iodine. In a simple unmatched unadjusted analysis, the lower bound of the 95% confidence interval for the odds ratio was 19.
  
  
  CONCLUSIONS
  This cluster was associated with consumption of a soy milk product. The thyrotoxicosis was probably due to iodine-induced thyrotoxicosis.
  
  
  CONCLUSIONS
  This investigation raises issues about quality control in manufacturing processes and the monitoring of food products for their safety. It also raises issues about public and health professional awareness of the potential health effects from food additives in some processed foods.
authors.affiliation: Public Health South, New Zealand.
authors.forename: Rebecca
authors.initials: R
authors.lastname: O'Connell
authors.forename: Lianne
authors.initials: L
authors.lastname: Parkin
authors.forename: Patrick
authors.initials: P
authors.lastname: Manning
authors.forename: Derek
authors.initials: D
authors.lastname: Bell
authors.forename: Peter
authors.initials: P
authors.lastname: Herbison
authors.forename: John
authors.initials: J
authors.lastname: Holmes
mesh_terms: D016022:Case-Control Studies; D005506:Food Contamination / Q000032:analysis*; D005511:Food Handling; D006801:Humans; D007455:Iodine / Q000009:adverse effects / Q000494:pharmacology; D008875:Middle Aged; D009520:New Zealand; D041942:Soy Milk; D011795:Surveys and Questionnaires; D013971:Thyrotoxicosis / Q000201:enzymology / Q000209:etiology*
chemical_list: D007455:Iodine