Pediatrics : the hygienic and medical treatment of children . m and should apply the therapeutictest. Rapid improvement under thyroid extract is a sign that thediagnosis is vol. 8 354 Diseases of the Ductless Glands PROGNOSIS.—Marked improvement occurs under thyroid ex-tract, but as in sporadic cretinism, it is a doubtful question in anycase whether a normal condition will ever be gained. TREATMENT.—Treatment is the same as that of sporadiccretinism. GOITER (Bronchocele) Enlargement of the thyroid gland is commonly called goiter. Truegoiter consists in the enlargement of the old and
Pediatrics : the hygienic and medical treatment of children . m and should apply the therapeutictest. Rapid improvement under thyroid extract is a sign that thediagnosis is vol. 8 354 Diseases of the Ductless Glands PROGNOSIS.—Marked improvement occurs under thyroid ex-tract, but as in sporadic cretinism, it is a doubtful question in anycase whether a normal condition will ever be gained. TREATMENT.—Treatment is the same as that of sporadiccretinism. GOITER (Bronchocele) Enlargement of the thyroid gland is commonly called goiter. Truegoiter consists in the enlargement of the old and in the formation ofnew alveoli, in the cells of which a greater or less amount of colloiddegeneration takes place. The colloid abnormalities of goiter arerarely present in children, in whom the thyroid enlargement seemsto be little more than a continuation of natural growth and a truehypertrophy or an excessive development of normal tissue. Usuallythe enlargement of the gland is the only symptom. Infants havebeen born with an enlarged thyroid. Fig. 248. Hyperemia of the thyroid gland. Female, 13 years old The disease is endemic in Switzerland, in certain parts of Franceand Italy, and in Michigan. The enlargemient may be purely vas-cular (hyperemia of the thyroid), parenchymatous, or cystic. Inplaces in which the disease is endemic the cause in many cases seemsto be cormected with the drinking-water. It has a certain relationto the endemic form of myxedema, the nature of which has not beenfully determined. A woman with goiter may, on removal to a placein which the disease is endemic, give birth to a cretin. Although asimple goiter generally gives rise to no other than those Exophthalmic Goiter 355 of pressure, symptoms of myxedema may develop. The inferenceis that this complication is due to interference with the function ofthe gland, as a result of which the secretions are either diminishedor entirely checked. When myxedema does not develop, as it doesnot in the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatr, bookyear1917
