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April 25, 1914


JAMA. 1914;LXII(17):1330-1331. doi:10.1001/jama.1914.02560420036018

Owing to the fact that in this country the occurrence of urinary calculi in man appears to be rather evenly distributed and favors no particular locality, we are liable to forget that in certain parts of the world there are circumscribed "stone districts." Some of the Scandinavian countries have been reputed to be free from the existence of these concretions; whereas in certain other regions of the world stone is a common malady. The incidence of urinary concretions can scarcely be correlated with climate or geographical location, for the "stone regions" occur in both warm and cold countries, inland as well as along the coast, in the highlands and the lowlands alike. Some indication of the wide-spread, though not uniform incidence is obtained from the statement of a recent writer who reports that there are "stone districts" in England (Norfolk, Bristol, etc.), the west of France, about Moscow in Russia,

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