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 



