山陰地方に於ける甲状腺腫に就て

概要

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This is to report that a large number of Goiter cases are found in the whole area of Sanin Wakasa District and confirm the existence of Endemic Goiter in the above district. During the year of 1953,161 cases were diagnosed to be Goiter, marking 6.26% of all the outpatients who visited the Internal Department of the hospital. A study of its statistics showed the number of the cases to be the highest in the month of August, lowest, in the month of March, that is, Goiter grows mainly during the period between early summer and late autum. Based on the number of cases by age group, Goiter cases are most frequently found in the people of twenties, followed by thirties, teens and forties, subsequently in that order. Ratio of sexual distinction-1 : 2.2, i.e., Male-38 cases, Female-77 cases. Percentage divided into the three main conditions are : Simple Goiter-73%, Hyperthyroidism-18.2%, Grave's Disease-8.8%. Distinctive Points of Clinical Pictures are : Simple Goiter-normal B.M.R. with less disturbance of function, Hyperthyroidism and Grave's Disease-high B.M.R. with many clinical symptoms. Pulse : over 100-14 cases, Irregular Pulse-3 cases. Blood Pressure : over 150mg Hg of Systolic Blood Pressure-14 cases, less 60mg Hg, Diastolic Blood Pressure-15 cases. Albuminuria, possitive-8 cases (6.9%) Glucosuria, positive-8 cases (6.9%) One exceptional case out of these combined Diabetes Mellitus.
日本内分泌学会の論文