ACROMEGALY 



Erythrocytes, 5,210,000. 

 Hemoglobin, 85 per cent. 

 Leucocytes, 8840, of which: 

 Polymorphonuclear neutrophiles, 63.8 per cent. 

 Lymphocytes, 29.7 per cent. 

 Large mononuclears, 4.2 per cent. 

 Eosinophiles, 2.3 per cent. 



Alimentary glycosuria (100 grh. dextrose) negative. 

 Pituitrinum infundibulare (2 cc.) no influence on diuresis, no glycosuria. 



245 



FIG. 39. Abnormally strong growth of hair in acromegaly. 



X-ray examination (Decent Schiiller) skull thick with enormous frontal sinuses. Sella 

 markedly widened, dorsum sellae lengthened, coarse, reclining; anterior clinoid process 

 broad, no sphenoidal sinuses. 



Eye examination (Prof. Sachs). Vision and field of vision normal. 



Operation was undertaken by Dr. Hirsch on May 29, under local anesthesia, by the 

 endonasal route. For the details I refer to 0. Hirsch's publications. The cavity made 

 in the hypophysis by operation reached about 2% cm. in the sagittal and \% cm. in 

 the vertical diameter. The temperature rose to 38.0 transitorily, falling back to normal 

 in a few days. On June 2, the patient already made the observation that the size of the 

 end-phalanges of the fingers had decreased. There must also have occurred a diminution 

 in the size of the feet, for the slippers, which were formerly too small, now fit him. On 



