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January 7, 1893


JAMA. 1893;XX(1):13-16. doi:10.1001/jama.1893.02420280021001f

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In the consideration of a medical topic we must recognize its importance as depending on: first, the frequency with which the disease occurs, and secondly, the severity of the disease if left untreated. Taking this as our standard of test we must recognize in rickets a disease of considerable importance.

Frequency.—In Europe the disease is very common, especially is this so in England, and to such an extent that in some countries it is known as the "English disease." The proportion of all children, attending certain clinics, having rickets is given as follows: Dresden, 25 per cent.; Berlin, 11 per cent., Parague, 31 per cent. In the higher classes the proportion is much smaller.

Merei states that in Manchester one in five children of well-to-do families had rickets, and the proportion is about that great in the wealthier classes.

Its severity when left untreated varies considerably. In the milder cases

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