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XVI. THE INFLUENCE OF SUBTOTAL THYROIDECTOMY WITH AND WITHOUT COMPOUND SOLUTION OF IODINE ON THE COURSE OF THE DISEASE

LEO KESSEL, M.D.; HAROLD THOMAS HYMAN, M.D.

Arch Intern Med. 1927;40(5):623-636.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In January, 1921, we instituted a study of fifty unselected cases of fully developed exophthalmic goiter.¹ No specific therapeutic measures were employed in order to determine the natural history (spontaneous course) of the disease,² and to establish an index for the evaluation of therapeutic procedures.³ From the group were excluded (a) patients who had thyroid enlargement without other manifestations of exophthalmic goiter⁴ and (b) those who, with or without thyroid enlargement, presented sympathomimetic symptoms, without significant elevation of the basal metabolism (autonomic imbalance).⁵ In the group studied, we included (1) patients with a significant elevation of metabolism on repeated readings; (2) patients whose illness was sufficiently severe to warrant residence in a hospital in which beds are at a great premium; and (3) patients from the poorest sections of the city, who were subjected to constant economic strain.

The present study is for the purpose of evaluating the efficacy of . . . [Full Text PDF of this Article]

Author Affiliations
NEW YORK

From the Medical and Surgical Services of the Mount Sinai Hospital.

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