426 



INTERNAL SECRETIONS 



are smaller than in normal individuals. The face is hairless, 

 whereas the eyebrows and the hair of the head are well devel- 

 oped. Hair is absent on the trunk. The hair in the axillae 

 and in the regio pubis is very poor ; the upper limit of the hair 

 in the regio pubis is a straight line. The skin very soon becomes 

 yellowish and wrinkled. If sexual activity still occurs, it is 

 generally incomplete and of a short duration. The testicle is 

 as a rule abnormally small (Fig. 133). In some cases it was 

 impossible to find any testis, as for instance in that of Wild- 

 bolz, who examined the abdominal cavity during an operation 



and found no trace of this organ. 

 It is very probable that in such 

 cases testicles, normal or under- 

 developed, were originally present, 

 and that they degenerated very 

 early without any obvious cause. 

 Halhan (1922) recently pointed 

 out that in principle bilateral 

 anorchism may exist, as there are 

 some cases where a unilateral 

 anorchism was observed. 



There are, as Tandler and 

 Gross showed, different types of 

 eunuchoids such as the "tall 

 eunuchoid" with a much accen- 

 tuated disproportion in the parts 

 of the skeleton, and the "fat 

 eunuchoid," where the dispro- 

 portion is less marked. In 

 these types there seems to be an 

 analogy to what is observed after castration; as we have 

 mentioned in Chapter II., similar types have been recognised 

 by Tandler in the Skopecs. Lately Koch (1921), who very 

 carefully examined the Skopecs, has proposed an even more 

 detailed classification according to four different types. Furno 

 distinguishes the following four different clinical types of 

 eunuchoids : 



(a) Pure eunuchoidism as caused by deficiency of gonad only; 



{h) Gerodermic eunuchoidism, where there is also a patho- 

 logical state of the thyroid and the hypophysis; 



Fig. 133. — Testicle and epididy- 

 mis of eunuchoid 0/28. Well 

 developed epididymis and 

 much reduced testicle. — 

 From Tandler and Gross. 



