262 



THE DISEASES OF THE HYPOPHYSIS 



ciable. In case i of Salomon the exchange of gases is not appreciably height- 

 ened, in proportion to the size and body weight of the individual. The 

 slight glycosuria can certainly not be regarded as a sign of increase (confer 

 later on, in the chapter on the pancreas, the statements as to the exchange of 

 gases in diabetes mellitus) . Whether the sweats that occur in this case and 

 the voracious hunger that occurred from time to time are to be referred to a 

 hyperthyrosis is not at all certain in itself. 



In case 2 the consumption of oxygen in proportion to the size of the 

 patient is high. But there exists a severe diabetes. Also in case 3 the 

 oxygen values lie somewhat above the upper limits of the normal. In case 

 4 the exchange seems to be normal. A heightening of the exchange of gases 

 cannot be concluded from the cases reported by Bernstein and myself. On 

 the whole the conclusion that Magnus-Levy and also Salomon have arrived at, 

 namely, that in uncomplicated acromegaly the exchange of gases is not in- 

 creased is correct. In the later stages of the cachexia and the decay, the 

 exchange seems to be rather lower, especially when also the thyroid gland 

 degenerates and myxedematous symptoms are added. 



Up to the present only very few investigations have been made with re- 

 gard to the sail metabolism. Von Moraczewski found in a case of acromegaly 





