Black and white photograph of woman demonstrating a case of non-goitrous cretinism, the worst form of this disease. A native of Steeple Aston, in Wiltshire, where she had always lived. The patient was 25 years of age, but was less intelligent than most children of three. The thyroid gland was atrophied. The mother had a goitre. Death occurred a year after the photograph had been taken.