Goiter management in adults: how to approach iodine deficiency vs autoimmune Hashimoto, and role of iodine supplementation?

• A. Iodine-deficient goiter: iodine supplementation; autoimmune goiter may require thyroid hormone replacement if hypothyroid or monitoring if euthyroid.
• B. Iodine supplementation is never used; autoimmune goiter always requires thyroidectomy.
• C. Iodine deficiency goiter: remove thyroid.
• D. Autoimmune goiter: iodine supplementation always.

Answer: (A)