ACROMEGALY 



255 



In this case then in the thirty-first year of life the goiter appeared simulta- 

 neously with acromegaly, the goiter subsequently developed enormously and 



led to pronounced symptoms of hyperthyrosis (tremor, exophthalmus, tachy- 

 cardia, etc.). Also the alimentary glycosuria could have been a symptom of 

 the hyperthyroidism, at least it disappeared later, when the goiter became re- 



