A small black and white photo approximately 3.5cm x 5 cm, 12” x 12”  - 30 ½ cm x 30 ½ cm framed

Framed – antique dark wood frame and silk, silver and cardboard passepartout.




·         Dr. Hakaru Hashimoto first described chronic thyroid disorder with diffuse lymphocytic infiltration, fibrosis and parenchymal atrophy. He termed it as "Struma Lymphomatosa", which is now referred as chronic thyroiditis or "Hashimoto disease". Dr. Hashimoto Hakaru (橋本策?, 1881–1934) was a Japanese medical scientist of the Meiji period and Taishō period. He was born on May 5, 1881, in the village of Midau, Nishi-tsuge in the Mie Prefecture. He graduated from Kyushu University medical school in 1907. He then entered igaku-bu daiichi Geka ikyoku (the first surgical bureau) and studied medicine under the direction of professor Hayari Miyake (1867-1945), the first Japanese neurosurgeon. In 1912, he published a paper, Kojyosen rinpa-setu sho-teki henka ni kansuru kenkyu houkoku or Zur Kenntnis der lymphomatösen Veränderung der Schilddrüse (Struma lymphomatosa) in 'Archiv für klinische Chirurgie', Berlin 1912:97:219-248. Years later, this paper was evaluated by English and American researchers, and the autoimmune disease it described was recognized as an independent illness. In American medical books, it was named Hashimoto's thyroiditis. Some years after he studied at the Georg-August University of Göttingen, where he studied pathology under Professor Eduard Kaufmann. He also studied in England. As World War I was about to break out, he was forced to come back home to Japan. In 1916, he came back to his hometown Igamachi and became the town doctor. He fell ill with typhoid fever and died at home on January 9, 1934.


·         Passepartout, a skeleton key or master key that opens any lock

·         Passepartout, the French term for a mat, a paper or, more usually, cardboard sheet with a cutout, which is placed under the glass in a frame. A photo (or print, drawing, etc.) is placed beneath it, with the cutout framing it. The passepartout serves two purposes: first, to prevent the image from touching the glass, and second, to frame the image and enhance its visual appeal. In English, the word is more commonly used for the gummed tape used to stick the back of the picture to its frame.

·         Passepartout (character), a character in Jules Verne's novel, Around the World in Eighty Days and in the Sci Fi Channel television series The Secret Adventures of Jules Verne

·         Passepartout (publishing), an open source desktop publishing program for the X Window System. It is part of the GNOME project



Silent form of Hashimoto disease / Postpartum Thyroiditis


The classic description of postpartum thyroiditis includes thyrotoxicosis followed by hypothyroidism. Not all women demonstrate evidence of going through both phases; approximately 1/3 of patients will manifest both phases, while 1/3 of patients will have only a thyrotoxic or hypothyroid phase. The thyrotoxic phase occurs 1-4 months after delivery of a child, lasts for 1-3 months and is associated with symptoms including anxiety, insomnia, palpitations (fast heart rate), fatigue, weight loss, and irritability. Since these symptoms are often attributed to being postpartum and the stress of having a new baby, the thyrotoxic phase of post-partum thyroiditis is often missed. It is much more common for women to present in the hypothyroid phase, which typically occurs 4-8 months after delivery and may last up to 9 –12 months. Typical symptoms include fatigue, weight gain, constipation, dry skin, depression and poor exercise tolerance. Most women will have return of their thyroid function to normal within 12-24 months of the onset of symptoms. However, approximately 20% of those that go into a hypothyroid phase will remain hypothyroid.