. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Fig. 192.—Sporadic Child, aged fifteen months. cases there is goiter (7 cases of Osiers series). In some cases supra-clavicular of fat or fatty tumors behind the are apparent. I ha\e ^^een of fat in cases whichhad suffered a return of .symptoms after susjjension of treatment. 708 DISEASES OF LYMPH XODES, DUCTLESS GLANDS AND BLOOD Etiology.—The etiology of sporadic cretinism is as yet absolutelyunknoivn. Experimental and operative pat


. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Fig. 192.—Sporadic Child, aged fifteen months. cases there is goiter (7 cases of Osiers series). In some cases supra-clavicular of fat or fatty tumors behind the are apparent. I ha\e ^^een of fat in cases whichhad suffered a return of .symptoms after susjjension of treatment. 708 DISEASES OF LYMPH XODES, DUCTLESS GLANDS AND BLOOD Etiology.—The etiology of sporadic cretinism is as yet absolutelyunknoivn. Experimental and operative pathology have demonstratedthat interference with the function of the thyroid gland (athyreosis). Fig. 193.—Sporadic cretinism; myxeriema marked. Child, aged twenty months. will produce a condition () closely resembling cretinism(Horsely, Reverdin, Kocher). The essential cause of endemic cretin-ism is thought to be some form of infection (Fagge). Sporadictl-etinism is also ranked by some authors among the DISEASES OF THE THYROID GLAND 109


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