TY - JOUR T1 - STatistical study of simple and toxic goiter at jefferson barracks, mo. AU - SMITH FM Y1 - 1919/02/15 N1 - 10.1001/jama.1919.02610070009003 JO - Journal of the American Medical Association SP - 471 EP - 472 VL - 72 IS - 7 N2 - Between April 1 and Sept. 1, 1918, 65,507 men passed through the examining barracks at Jefferson Barracks. An enlargement of the thyroid gland was noted in 1,074 instances (1.63 per cent.). In 116 cases (10.7 per cent.) there were toxic symptoms. These men were rejected with a diagnosis of hyperthyroidism or exophthalmic goiter, depending on whether or not exophthalmos was present.GEOGRAPHIC DISTRIBUTION  Men from fifteen different states—Arkansas, Illinois, Iowa, Indiana, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Oklahoma, South Dakota, Tennessee, Texas and Wisconsin — are included in these figures. The accompanying table shows a number in which there were thyroid enlargements, the percentage of thyroid enlargement in the number examined, the number of toxic goiters, and the percentage of goiter cases in which there were toxic symptoms. It is noted that Oklahoma has the highest percentage (38 per cent.) of goiters, followed in order by Texas, 20 per SN - 0002-9955 M3 - doi: 10.1001/jama.1919.02610070009003 UR - http://dx.doi.org/10.1001/jama.1919.02610070009003 ER -