0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

GANGOSA.

O. J. MINK, M.D.; N. T. McLEAN, M.D.
JAMA. 1906;XLVII(15):1166-1171. doi:10.1001/jama.1906.25210150022001e.
Text Size: A A A
Published online

Definition.  —Gangosa, a Spanish word meaning muffled voice, is the name employed by the Spaniards in the Ladrone and Caroline Islands to describe a disease characterized by a destructive ulceration, usually beginning on the soft palate, pillars or uvula, and extending by continuity to the hard palate and nasal cavity, larynx, and even to the face. Active ulceration is followed after a variable period by cicatrization or chronic ulceration. Mutilation always results. Constitutional symptoms are either slight or absent.

Synonyms.  Rhinopharyngitis mutilans (Leys). Ogo (Chamorro).

HISTORY AND GEOGRAPHY.  There is absolute proof that gangosa has existed in the Island of Guam for at least 150 years, and probably much longer. In 1828 the Spanish Royal Commission sent to investigate conditions in the Ladrone Islands reported gangosa as being prevalent and recommended that these cases and cases of leprosy and large ulcerations be isolated on one of the smaller islands

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();