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November 2, 1912


Author Affiliations

Professor of Therapeutics, Yale Medical School NEW HAVEN, CONN.

JAMA. 1912;LIX(18):1618-1621. doi:10.1001/jama.1912.04270110032012

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It is the object of this paper to present a few types of what I consider hypothyroidism, or symptoms of subthyroid secretion. Many of these conditions are not recognized, and patients suffering from disturbed physiology of this gland drift from physician to physician, and are improved only after the diagnosis has been made and the proper treatment inaugurated. Unquestionably, many of these patients are psychopathic and may improve by mental treatment. The thyroid gland is peculiarly susceptible to mental stimulation and to mental depression, and anything that quiets mental excitation will diminish a hyperthyroid secretion of the gland, and anything that removes mental depression will increase a subnormal secretion of the gland.

Some instances of disturbed secretion of the thyroid, a few of which I shall relate, look like pure hysteria, or that disturbed nervous state which we call neurotic, but for the pathology of which we are still searching.

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