398 THE DISEASES OF THE SEXUAL GLANDS 



tary and acquired obesity and divides the hereditary obesity into two forms, 

 one of which develops in early youth and which becomes prominent later, and 

 in which only the predisposition to obesity is inherited. Then Kisch men- 

 tioned that the hereditary obesity " acquires a quite characteristic nutritive 

 expression of degeneration." The description of these types that Kisch 

 furnishes suits entirely, as Tandler and Grosz points out, the eunuchoid type. 

 Among two hundred thirty-eight cases of obesity, Kisch saw it twenty-four 

 times, seventeen of these cases developing at an early age. 



Pirsche cites the case of Papillaunet and adds three observations of his 

 own. Other cases have been reported by Etienne, Jeandelize and Richon 

 (man fifty-nine years old, 174 cm. tall, preponderance of the lower length, 

 epiphysial junctures incompletely closed, the testicles one cryptorchiditic 

 very small and fibrous, seminal vesicles and prostate also small and fibrous, 

 penis 4 cm. long); and by Duckworth (thirty-seven-year-old man, 171.7 cm. 

 tall, 179 cm. span width, considerable preponderance of the lower length, 

 marked fibrosis of the testicles, the prostate, and the epididymis, already 

 described by Griffith} ; already Duckworth mentions the similarity to "cryptor- 

 chid conformation." Very worthy of mention are the cases of Sainton of five 

 brothers (and sisters), three were eunuchoids, and besides this an uncle and 

 great-uncle. The case described was 172 cm. tall. The lower length 

 predominated considerably. The thymus gland was not persistent. I 

 believe that also the case of Babonneix and Paisseau (case I) and that of 

 Lemos Magalhaes belong to this group ; also the case of Thibierge and Gastinel 

 (termed gigantism with infantilism). 



Neurath furnishes the description of an eleven-year-old tall-grown girl 

 with typical "eunuchoid" obesity, that is very likely a case of eunuchoidism. 



Also the case of Porhon and Mihaelesco described by these authors as 

 "cas d'infantilesme dysthyreoidique et dysorchitique " seems to me to 

 belong to this group, as also the case of "anorchidia" of Launois and Roy. 



Also the case of " cryporchides abdominaux" Variot; also a case of Apert, 

 also case I of Babonneix and Paisseau would fit in this group very well. 



Of special interest is the case of Josef son and Lundquist that affected a 

 female eunuchoid, I shall consider this in detail later on. I also mention here 

 briefly the case of Peritz. 



During the course of the last few years, I have seen four cases, which I 

 shall report, before entering into the description of the symptomatology. 



Observation XLVIII. B. Sch., thirteen and one-half years. First observed Nov., 

 IQIO. Father had lues at the age of twenty years. His Wassermann still positive. Asa 

 child the patient had an umbilical hernia, and a left-sided inguinal hernia, also slight con- 

 stipation. The umbilical hernia healed three months. after birth, the inguinal hernia 

 only after some years, three years ago operation on the tonsils. 



Before this, always sore throat and snorings. For about three years gradual onset of 

 obesity. In addition vomiting sometimes, especially after breakfast. When the vomit- 

 ing has finished, appetite returns. The boy now weighs 55 > kg. The body build is 



