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The cause, according to Aretaeus, was sometimes either another chronic disease or even consuming "a copious draught of cold water." [70] [71] The paediatrician Samuel Gee gave the first modern-day description of the condition in children in a lecture at the Hospital for Sick Children, Great Ormond Street, London, in 1887

Animal numbers were chosen with consideration of ethical requirements and the 3Rs principle (replacement, reduction, refinement) to balance statistical sensitivity with minimizing animal use 18