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June 1923

News and CommentTHE THERAPY OF EXOPHTHALMIC GOITER

Arch NeurPsych. 1923;9(6):781-782. doi:10.1001/archneurpsyc.1923.02190240096007
Abstract

Exophthalmic goiter has long offered a problem of serious import to the clinician, since it causes much immediate distress to the patient and presents uncertainties of prognosis in most cases. Until recently, errors in diagnosis were frequent, for few clearly defined aids to clincial judgment were available. Now that there is more agreement in respect to the distinguishing characteristics of exophthalmic goiter, the therapy of the disease has become the subject of active discussion. In a recent issue of the Archives of Internal Medicine1 is presented the outcome of serious researches by competent investigators which emphasize the conflicting points of view.

The crux of the situation involves the natural or spontaneous course of the disease. This is admittedly fundamental to any final evaluation of specific measures of treatment that may be undertaken. It is often alleged that the natural course of exophthalmic goiter is a most uneven one, and

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