BronchoceleGoitre.—These names are given to a swelling in the neck, caused by an enlargement of the thyroid gland, situated in front of the windpipe. The disease is confined to particular districts of country.

Full throat varies in size, from the enlargement so slight as to be scarcely perceptible or even, in some eyes, to add grace to the neck—to a tumor many pounds in weight. In England or America, however, it seldom attains the immense size it does elsewhere. Bronchocele is much more common in females than in males; indeed, in this country it is rarely seen among the latter; and in both sexes, as a general rule, does not appear till after puberty; children, however, do suffer from it even from earliest infancy. The rise and progress of bronchocele are for the most part slow, and unaccompanied with pain; but occasionally rapid enlargement occurs, and then pain is severe. Coughs, child-bearing, strong muscular exertions, are all liable to induce and accelerate the progress of bronchocele: the monthly period also exerts considerable influence upon it. Females of lymphatic temperament are more liable to be attacked.

Bronchocele is a disease for the most part devoid of danger; the chief inconvenience attending it, when of large size, being impediment to the breathing, and fullness of the head arising from obstruction to the circulation in the vessels of the head and neck. The appearance of a large bronchocele is, of course, unsightly, although in those localities in which it prevails it is scarcely observed.

Various causes have been assigned for the production of bronchocele; but none with so much probability as that which attributes it to the regular use of water containing lime and magnesia impregnations of the fluid found coincident with the disease.

Remedies

Iodine and Spongia will nearly always cure.