ACROMEGALY 



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The following case, although not so instructive, seems a further example of 

 the preservation of the generative function: 



Observation XXVIII. F. Da., thirty-eight years old. Ambulant patient in 1911. 

 For nine years married, three children. Wife has had one abortion; for about one and 

 one-half years the hands and feet have become thickened, etc. Collar number has risen 

 from 41 to 44, hat number from 55 to 58^. One year ago the incisor teeth spread 

 apart from each other, and the lower jaw projected. Often polydipsia. Dyspnea on 

 ascending stairs. More readily excited than formerly. Body weight has increased from 

 7 kg. to 83 kg. Arching of the chest has increased. Potency not altered. Typical 

 acromegaly. External genitalia strongly developed, large amount of hair on them. 



FIG. 41. Case of acromegaly (Observation XXIX). 



Erythrocytes, 5,300,000. 

 Hemoglobin, 90 per cent. 

 Leucocytes, 8100, of which: 

 Neutrophiles, 74 per cent. 

 Lymphocytes, 20 per cent. 

 Eosinophiles, 6 per cent. 

 Test as to alimentary glycosuria (100 gm. dextrose) in urine 1.3 per cent. = 0.88 



gm. 



Eye findings normal, sella turcica almost the size of a gulden piece. 



Menstruation may be present for a long time in acromegalic women. 

 In Becker's case the menstruation ceased as late as eighteen years after the 



