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A CASE OF EXOPHTHALMIC GOITRE.
A Clinical Lecture delivered at the Hospital of the University of Pennsylvania.BY JAMES TYSON, M.D.,PROFESSOR OF CLINICAL MEDICINE.Our patient, a woman, aged 44, was born in Ireland, and is a servant by occupation. Her family history has no bearing on the present disease. Up to three years ago she had good health; at this time she became ill with rheumatism and was confined to her bed for a month. She recalls her knee as being badly swollen. At this time, too, she noticed for the first time a lump growing upon the front of her neck, first in the median line. With this she experienced a choking sensation, especially when she swallowed; but occasionally at night, when lying down, she noticed the same disagreeable symptom. At first the swelling increased slowly, but for the last year it has grown rapidly. As early
THE CLINIC.. JAMA. 1890;XV(15):538-539. doi:10.1001/jama.1890.02410410018002