254 



THE DISEASES OF THE HYPOPHYSIS 



Fifth admission, May, 1907. For two years there has been a gradual diminution in the 

 motor power. Goiter seems to be smaller. Appreciable enlargement of the sella turcica. 

 The enlargement of the hands depends only on the enlargement of the soft parts. Frontal 





mm 



FIG. 43. X-ray picture of the hand in acromegaly (^ natural size). 



cavities enormously widened. Eye-findings normal. Alimentary glycosuria (50 gm.) 

 now negative. Death from pneumonia. 



Autopsy. Tumor of the hypophysis of soft confluent consistence and grayish-red 

 color. Besides, in various organs, numerous tuberculomata. 



