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July 8, 1933


Author Affiliations

Doylestown, Pa.

JAMA. 1933;101(2):122. doi:10.1001/jama.1933.27430270004009d

Abscess of the thyroid gland is rarely primary; metastatic in character, it usually follows one of the acute infectious diseases, more commonly pneumonia, tonsillitis or cervical adenitis. In all the accounts, suppuration of the thyroid is considered rare, thyroiditis in general occurring in from 1 to 0.25 per cent in operative material and observed clinical cases.

There is no age at which the disease cannot be found. According to Miggend, women are more susceptible than men. Meara and MacGregor1 reported a case in a 3½ year old child with a suppurating thyroid. Wilkins2 reported a case occurring at the age of 74. The usual age of incidence is from 20 to 45 years.

When suppuration of the thyroid develops, the abscesses are as a rule multiple, each, however, tending to break through the adjoining soft tissues, thus leading to confluence and to rupture through the skin or purulent