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May 22, 1897


JAMA. 1897;XXVIII(21):995. doi:10.1001/jama.1897.02440210037006

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The pathology and etiology of exophthalmic goitre are still to some extent open questions and additional contributions in the way of hypothesis are at least worthy of mention as filling out or perhaps as encumbering the literature of the subject. The latest contribution in this line is that of Dr. C. Schwerdt, whose brochure, editorially noticed at length in the London Lancet, endeavors to prove that it is often the direct effect of misplacement of the abdominal viscera—enteroptosis, or Glenard's disease—which he attributes to a primary nervous weakness leading to loss of tone in the muscular system and elsewhere and consequent yielding of the abdominal rigidity upon which the proper position of the viscera largely depends. These being misplaced cause constipation, accumulations of fluids and gases in the stomach, obstruction to the circulation and absorption and retention of waste products with consequent auto-intoxication. Then, apparently accepting the Mœbius theory of

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