CLOWNISM

\klˈa͡ʊnɪzəm], \klˈa‍ʊnɪzəm], \k_l_ˈaʊ_n_ɪ_z_ə_m]\
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1920 - A practical medical dictionary.
By Stedman, Thomas Lathrop
 
1898 - American pocket medical dictionary
By Willam Alexander Newman Dorland