ENDOCRINOLOGY IN PEDIATRICS 189 
ulating power. The blood findings lean to both lympho- 
cytosis and leukemia, although they need not necessa- 
rily be classed in this latter category. Such cases, how- 
ever, frequently have enlarged lymphatic glands, espe- 
cially in the neck, and adenoids and enlarged tonsils 
are the rule. Many times the adenoids recur one or 
more times after operation. Their susceptibility to in- 
fections is particularly great, and decayed and mal- 
formed teeth are practically always present. Such chil- 
dren seem to be predisposed to tetany and convulsive 
conditions, and later on do not develop sexually as they 
should. The disturbed endocrine function in these 
cases, to my mind, is connected with the thymus, thyro- 
parathyroid combination and the sex glands, as well as 
the closely related hemopoietic organs. They do well 
on a pluriglandular organotherapy definitely directed 
at the most obvious phases of their symptomatology, 
and I have been in the habit of using preparations of 
lymphatic glands, thymus, and the interstitial cells of 
Leydig and sometimes spleen extract, with satisfactory 
results. 
Type 9. Malnutrition, associated with anemia and 
blood dyscrasias, such as purpura, hemophilia and 
scurvy are due to faulty mineral metabolism, reduced 
alkalinity of the blood, changes in the viscosity of the 
blood and disturbances of the hemopoietic organs and 
lymphatics. In these cases the thyroid, parathyroids, 
thymus, lymphatics, spleen, liver and bone medulla are 
mainly affected. Hemoglobin is valuable, especially 
when combined with the indicated endocrine remedies. 
Lymphatic extract often gives good results in this type 
of cases. 
ANOMALIES OF GROWTH AND MORPHOGENESIS 
Disturbances of the internal secretions are responsi- 
ble for the anomalies of growth and morphogenesis. 
The difficulty in diagnosis, as well as treatment, lies in 
