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October 12, 1957


Author Affiliations

500 W. Milwaukee St. Janesville, Wis.

JAMA. 1957;165(6):726. doi:10.1001/jama.1957.02980240084029

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To the Editor:—  As a midwestern physician with an interest in metabolic disease, I am somewhat concerned by certain views expressed in a recent paper entitled "Hypothyroidism" (J. A. M. A.165:121-124 [Sept. 14] 1957). The author's assertions that hypothyroidism is the most frequent affliction in the Midwest, that exophthalmic goiter may be induced by the administration of exogenous thyroid, and that the most frequent cause of daily headache is hypothyroidism seem open to question. While the insidious onset of myxedema frequently impedes its early diagnosis, the ill-advised use of thyroid substances seems much more prevalent than the disease. There are well-defined criteria for the diagnosis of deficient thyroid function, and thyroid therapy for vague or ill-defined syndromes should be discouraged.

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