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March 8, 1913

Der endemische Kropf.

JAMA. 1913;60(10):773. doi:10.1001/jama.1913.04340100065033

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This monograph contains the results of a collective investigation of endemic goiter in Bavaria. Careful and systematic studies of these cases, particularly as seen in school children, were made by district physicians in the different Bavarian districts and have been worked over into this report. The methods employed, statistical details, maps, etc., make the report convincing as to accuracy. While of greater interest to the German physician because of its local coloring, many of the results have a more general bearing. Thus the investigators find a greater prevalence of goiter in the mountainous districts of Bavaria but cannot trace any very close relationship to the geologic formation of the land furnishing the water-supply. Cretinism they found oftener in the goitrous districts; exophthalmic goiter did not impress them as unusually frequent. Spontaneous disappearance of cretinism was occasionally noted.

The authors feel that the drinking-water does not contain any preformed toxin due

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