Representations of thyroid swelling, intended as an enlarged anterior neck region, in the artworks of various periods are sporadically reported in the scientific literature, and different intents may be hypothesized. A comprehensive review of the international literature was performed on PubMed, Embase, and ResearchGate with the aim to analyze the modalities of representation of thyroid swelling through the ages by different artistic movements. Thyroid swelling is frequently represented in the artworks of many stylistic periods and seems to be a known condition even by the earliest cultures. Thyroid swelling may be considered a common finding among forms of art distant in time and style. It is not always possible to define whether thyroid swelling is a realistic representation or a detail added by the author. Although the function of the gland was discovered only at the end of the 19th century, thanks to the artworks of authors in many cultures, it is nowadays possible to formulate hypotheses about the distribution of thyroid diseases over the centuries.

1.
Vescia FG, Basso L: Goiters in the Renaissance. Vesalius 1997; 3: 23–32.
2.
Ferriss JB: The many reasons why goiter is seen in old paintings. Thyroid 2008; 18: 387–393.
3.
Gutekunst R, Sciba PC: Goiter and iodine deficiency in Europe. The European Thyroid Association report as updated in 1988. J Endocrinol Invest 1989; 12: 209–220.
4.
Chigot JP: The thyroid one and goiter through the ages. Hist Sci Med 2008; 42: 393–402.
5.
Sterpetti AV, De Toma G, De Cesare A: Thyroid swellings in the art of the Italian Renaissance. Am J Surg 2015; 210: 591–596.
6.
Merke F: History and iconography of endemic goiter and cretinism. Berne, Huber, 1984.
7.
Droin G: Endemic goiter and cretinism in Alps: evolution of science and treatments, transformation of the pathology and its representations. Int J Anthropol 2005; 20: 307–324.
8.
Dionigi G, Dionigi R: Iconography of goiter: four refined examples in the Sacred Mountain of Varese, Italy. Thyroid 2013; 23: 1301–1304.
9.
Lazzeri D, Pozzilli P, Zhang YX, Persichetti P: Goiter in paintings by Rogier van der Weyden (1399–1464). Thyroid 2015; 25: 559–562.
10.
Martino E, Del Tacca M: Endocrinology and art. Queen Ankhesenammon with goiter. J Endocrinol Invest 2008; 31: 583.
11.
Guaraldi F, Pasquali R: Medical philately. Thyroid: from Hellenistic Greece to Renaissance. J Assoc Physicians India 2010; 58: 583.
12.
Bayliss R: Balzac and cretinism. J R Coll Physicians Lond 2000; 34: 398–400.
13.
Laios K, Tsoucalas G, Karamanou M, Androutsos G: Goiter in Ancient Greek art. Indian J Endocrinol Metab 2015; 19: 190.
14.
Józsa LG: Goiter depicted in Byzantine artworks. Hormones (Athens) 2010; 9: 343–346.
15.
Clark CZ, Clark OH: The Remarkables: Endocrine Abnormalities in Art. San Francisco, University of California Press, 2011.
16.
Sena LM: Thyroid in art (abstract) American Society for Clinical Pathology Meeting; Las Vegas, October 19–22, 2011.
17.
Martino E: Endocrinology and art. Raffaello Sanzio (1483–1520) “Deposizione Borghese.” J Endocrinol Invest 2014; 37: 1131.
18.
Martino E: The crucifixion of Saint Andrew. J Endocrinol Invest 2001; 24: 386.
19.
Lazzeri D, Castello MF, Lippi D, Weisz GM: Goiter in portraits of Judith the Jewish heroine. Indian J Endocrinol Metab 2016; 20: 119–122.
20.
Trimarchi F: Judith and Her Maidservant: a goitrous heroin in two masterpieces. J Endocrinol Invest 2016; 24: 1357–1358.
21.
Waldmann E: Albrecht Dürer. Leipzig, Insel Verlag, 1920.
22.
Campbell L, Van der Stock J: Rogier van der Weyden 1400–1464: Master of Passions. Zwolle, Waanders, & Davidsfonds, 2009.
23.
Pozzilli P, Lazzeri D: A goiter in Christ in crucifixion. Thyroid 2016; 26: 1646–1647.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.