Congenital goitre / by Alexander R. Simpson.

  • Simpson A. R. (Alexander Russell), 1835-1916.
Date:
1866
Catalogue details

Licence: Public Domain Mark

Credit: Congenital goitre / by Alexander R. Simpson. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    the normal course of development of this body before dogma- tizing on its pathological degenerations; for, whilst it is some- what vaguely stated (Bach) that it attains its largest size as the period of birth approaches, we know that in a foetus, about the eighth month, a goitre may already be developed of such a size as to cause great deformity, (Mondini) or, if the child be born alive, to cause its death within a few hours after delivery (Sir J. Y. Simpson). III.— PEOGNOSIS. The enlargement of the thyroid gland, which, in the adult, is simply an object of dislike from its deformity, becomes in the new-born infant an object of dread from its fatality. The high degree of its mortality will be at once evident from a reference to the subjoined TABLE OF CASES OF CONGENITAL GOITRE, SHOWING THE PRO- PORTION OF DEATHS AND RECOVERIES. REPORTERS. NO. OF CASES. Albers, (a) Bach, (a) . Betz, (a) . Crighton, (a) . Ferrus, (b) Frbbelius, (c) . Hedenus, (d) . Keiller, (a) Ktittner, (e) Maurer, (a) Simpson, A. P., (f) Simpson, Sir J. Y., (a) Spiegelberg,fa;. Weber, (h) 1 3 3 3 3 1 22 SEX. DEATHS. RECOVERIES. MALE. FEMALE. 1 2 1 *2 3 3 2 1 1 1 1 1 1 i T i T i i i i 2 i 1 6 4 15 7 Such a table will not, of course, afford us an absolutely correct idea of the relative proportion of cases in which con- genital goitre proves fatal to the subjects of it: for, in countries (a) Lnco citato. (b) Dictionnaire de Medicine. Tome x., p. 28.3. Paris, 1824. (c) J'etersburger Med. Zeitschrift, 1865. II., 175 and Centralblatt fur die Medicmische Wxsscn- schaften, 1S66. IV. 128. {(V) Haste's Pathological Anatomy. (Sydenham Soc.) p. 3S6. (e) Journal fiir Kinderkrankheiten, 1S65. XXV., 2. (/) Pago 3. \g) Wilrzb 'urger Med. Ztschr. V. 160; and Centralblatt f. d. Med. IFw., 1864. II., 894. (h) Beitragt zun Paihologischen Anatomic der Neugeborenen. Simpson's obstetric works.