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April 19, 1958


Author Affiliations

8 Maimon St. Jerusalem, Israel.

JAMA. 1958;166(16):2074. doi:10.1001/jama.1958.02990160132025

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To the Editor:—  I have read with great satisfaction Dr. Jackson's paper on "False Diagnosis Of Hyperthyroidism" in The Journal, Nov. 23, 1957, page 1533, finding myself in full agreement with the views and conclusions expressed therein. My personal experience covers a period of about 20 years in Germany and of almost 25 years in the Middle East, particularly in Israel. While genuine exophthalmic goiter was comparatively frequent on the European continent, only isolated cases have been seen in Israel, and these are almost exclusively found among the western Jews. I have also found that thyrotoxicosis ( hyperthyroidism without conspicious goiter and eye signs) is not as frequent as generally assumed and diagnosed. As Dr. Jackson, I have seen many patients, especially women, in whom a diagnosis of thyrotoxicosis had been confidently made by the attending physician on the strength of nervous excitability, palpitation, profuse sweating, other neurovegetative symptoms and signs,

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