Abstract
Simple goiter, or benign enlargement of the thyroid gland, is of common occurrence in the United States. It is endemic in the entire basin of the Great Lakes and in the Pacific Northwest. King County, Wash., is in a region with large incidence of endemic goiter. The common occurrence of this condition locally will be testified to by any practicing physician, and the layman on the street can readily diagnose cases in abundance as he passes. Over fourteen thousand observations on local University students show an incidence of over twenty-six per cent, while, an even more frequent occurrence of thyroid enlargement was noted in an investigation in a few of the public schools. Although decreased incidence of goiter in adults as contrasted with that noted in early life may be established, nevertheless the goiter in the adult, which often develops into the severly toxic type, may have its origin in the simple endemic goiter of childhood.
Published Version
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