Bronchocele. Derbyshire Neck. Goitre.
BRONCHOCELE is what is called an endemic disease; which means, a disease which prevails in certain localities. This complaint is prevalent in Nottingham and Derbyshire, England, among the Alps, and especially in the Tyrol and valley of the Rhone. It is thought to be produced by the use of melted snow, and water impregnated with lime and earthy matter.
Symptoms. A prominent, soft, elastic tumor, occupying the front of the throat, in the situation of the thyroid gland, and like it in shape. It is not tender, and the skin is not discolored. In old cases, the tumor becomes bard. In Fig. 181 the tumor is so large as to have pushed the gullet to one side.
Treatment. The usual and perhaps the best remedy for this disease is iodine. It may be given as iodide of potassium, with a bitter or some other article (138), (146), (101). An iodine ointment may be applied to the tumor (185).
The patient should move away from the infected district, and reside, if possible, upon the sea coast.
The use of the thyroid gland of the sheep given in 5 grain tablets is the best treatment which can hold out any promise of cure.
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