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July 28, 1906


JAMA. 1906;XLVII(4):276-277. doi:10.1001/jama.1906.02520040032005

A few years ago it was the custom to think that a certain number of diseases which are rather common in Europe occurred much more rarely in this country. Such views even crept into the text-books and became the standard teaching to such an extent that most of us have come to accept them as supposedly founded on careful observation. With the progress of time and more critical sifting of medical literature and statistics, most of these nosologic differences supposed to be in favor of this country have proved to be unfounded. For instance, there was a very general impression in this country that gout was extremely rare in America as compared to its prevalence in England. When gout was suspected here great care was exercised in trying to trace it to hereditary origin in some English ancestor, and in many minds the final diagnosis was often considered dubious unless

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