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Article
February 22, 1913

THYMIC TRACHEOSTENOSIS AND THYMUS DEATH, WITH REPORT OF CASES*

Author Affiliations

Surgeon to Grant Hospital and Children's Hospital COLUMBUS, OHIO

JAMA. 1913;60(8):571-575. doi:10.1001/jama.1913.04340080007003
Abstract

To the five cases of thymus hyperplasia which I have reported, 1 I wish to add two others. In the following discussion, I shall refer sometimes to the cases previously reported.

REPORT OF CASES 

Case 6.  —Miss B. M., aged 41, suffering from an advanced exophthalmic goiter for three years, was extremely emaciated and had a marked exophthalmos. Stellwag, Graefe and Moebius symptoms were present. Pulse-rate was 88 and extremely irregular. Many of the heart-beats were not transmitted to the radial artery. The heart was enlarged. The enlargement of the thyroid gland affected both lobes and the isthmus. The right lobe was larger than the left, was irregular in surface and very hard in consistency. The inferior pole of the right lobe extended partly behind the sternum. Intense vascular symptoms, thrill and systolic murmur were present over the thyroid gland and in both supraclavicular spaces. Percussion showed a marked dulness

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