It has subsequently been withdrawn from circulation at the request of Tomokos family, so does not appear in recent anthologies of Smiths works. Smith and his wife were extremely dedicated to the cause of the people with  Minamata disease, closely documenting their struggle for recognition and right to compensation. Smith was himself attacked and seriously injured by Chisso employees in an incident in Goi, Ichihara city, near Tokyo on January 7, 1972, in an attempt to stop the photographer from further revealing the issue to the world. The 54-year-old Smith survived the attack, but his sight in one eye deteriorated and his health never fully recovered before his death in 1978. Johnny Depp plays W. Eugene Smith in Minamata (2020) a drama based on the book written by Smiths wife. Japanese photographer Takeshi Ishikawa, who assisted Smith in Minamata, has since exhibited his own photographs documenting the disease. His photographs cover the years 1971 to the present, with Minamata victims as his subjects.The prominent Japanese documentary filmmaker Noriaki Tsuchimoto made a series of films, starting with Minamata: The Victims and Their World (1971) and including The Shiranui Sea (1975), documenting the incident and siding with the victims in their struggle against Chisso and the government. Kikujiro Fukushima, a well-known Japanese photographer and journalist, published a series of photographs in 1980 concerning pollution in Japan, including Minamata disease. Some negatives of these photos are available on the website, and Kyodo News Images holds the rights to them.
This leads to symptoms and biochemistry of an overactive thyroid (feels hot, trembly, anxious, loses weight, fast heart rate, sweaty, greasy hair), with raised free T3 and free T4, and a suppressed thyroid stimulating hormone (TSH) value. The damaged cells will no longer be able to take up iodine in order to manufacture further supplies of thyroid hormone, and thus in due course the patient comes to experience the symptoms of an underactive thyroid (feels cold, tired, depressed, gains weight, dry skin and hair) with low free T3 and free T4, and eventually increased TSH. Diagnosis
With the standard overactive thyroid, iodine uptake into the thyroid is avid, whereas if the cells are damaged, then uptake is poor. In this way, if there is doubt about whether the patient has too much thyroid hormone because of de Quervains thyroiditis, then measuring radio-iodine uptake or technetium uptake gives a clear cut answer as it will be higher than normal in standard thyrotoxicosis and lower than normal in de Quervains. Treatment
Treatment is beta blockers, aspirin, and NSAIDs (or corticosteroids if NSAIDs are ineffective). Eponym
It is named for Fritz de Quervain. It should not be confused with De Quervain syndrome. Terminology
It is sometimes called subacute thyroiditis, but there are other forms of subacute thyroiditis, subacute lymphocytic thyroiditis, postpartum thyroiditis, and autoimmune thyroiditis all of which, in contrast to de Quervains, are typically painless or "silent". It is also sometimes called "painful subacute thyroiditis". This is in contrast to subacute lymphocytic thyroiditis, which is also sometimes called "painless thyroiditis".