'But as much as the country is agreeable in its wildness, as much are the inhabitants savage, and deformed, and monstrous in their appearance. Very many of them have ugly swelled throats; idiots and deaf people swarm in every village; and the general aspect of the people is the most shocking I ever saw.' [1]
That's why some traditional costumes in that region include a so called "Kropfband" (goitre bound). [2]
It's fascinating how much one's place of birth used to influence a life and medical biography and in many countries still does.
[1] https://www.gutenberg.org/files/42843/42843-h/42843-h.htm