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Edward Swasey, M.D.
JAMA. 1914;LXIII(22):1950. doi:10.1001/jama.1914.02570220060018.
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It may not be safe or profitable to draw conclusions from any one case of illness, either medical or surgical; and yet a single case may present some features of importance and interest that may render its history worthy of public record. I believe the following case is in this class:

Mary M. is now 24 years of age. When she was 12 I gave her glasses for a rather high degree of astigmatism. She has been under my observation at intervals for these past twelve years. Some five or more years ago her mother first noticed a growth in the neck. This rather rapidly increased in size so that the neck band of her dresses required frequent enlargement. The girl soon began to show signs of nervousness, was easily fatigued, and complained of palpitation on slight exertion. Soon the eyes seemed to enlarge and become prominent. She consulted her


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