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Dr. William Alexander, of Liverpool, records, in the Liverpool Medico-Chirurgical Journal, his experience in the treatment of struma at the Liverpool Workhouse Infirmary. At this hospital the so-called strumous ophthalmia, and strumous disease of the joints and glands constitute the staple diseases of the children patients.
For the treatment of strumous ophthalmia a country house was selected near the city, and a careful, competent and zealous nurse appointed; and to this place the children were sent as soon as the acute symptoms of ophthalmia had passed away. Here the local treatment of the eyes was continued, being aided by the fresh air, plenty of exercise, and more wholesome surroundings. The treatment seems to have been successful, though the author's language is somewhat obscure: "Since that time only a few cases of ophthalmia percolate the Workhouse Infirmary, to be finally cured at Maghull (the place of the country house)." But he
THE HYGIENIC TREATMENT OF STRUMA.. JAMA. 1887;IX(24):755–756. doi:10.1001/jama.1887.02400230019005
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