EUNUCHOIDISM 



399 



slender. The skin pale, soft, satiny, facial complexion pale, marked collection of fat 

 on the breasts, in the inguinal region and on the mons Veneris. The penis is quite small, 

 as is also the scrotum; the right testicle is about the size of a plum-kernel, the left is about 

 half the size and is not quite descended. Examination of the eyes shows entirely normal 

 relations. Likewise the X-ray examination of the skull [i.e., normal]. Sella turcica 

 rather small. Temperature 36.2, circumference of the head 54 cm. 



Erythrocytes, 5,290,000 



Hemoglobin, 95 per cent. 



Leucocytes, 10,700, of which: 



Polymorphonuclear neutrophiles, 49.6 per cent. 



Large mononuclears, 3 per cent. 



Lymphocytes, 42.4 per cent. 



Eosinophiles, 5 per cent. 



Genu valgum on each side. 



The boy is well developed mentally, but lazy. 

 He is silent, especially in intercourse with com- 

 panions of the same age. 



Thyroid small, hardly palpable. Liver and 

 spleen not enlarged. 



Thyroid gland treatment. Loss of about 3 kg. 



June, 1911. The boy has grown, still very fat, 

 typical distribution of fat. The testicles are not 

 better developed. The right testicle has a longi- 

 tudinal diameter of about 25 mm., the left pf about 

 18 mm., the latter is fully descended. 



Leucocytes, 10,800, of which: 



Polymorphonuclear neutrophiles, 50.94 per cent. 



Lymphocytes, 31.26 per cent. 



Large mononuclears, 12.8 per cent. 



Eosinophiles, 3 per cent. 



Eye examination normal. 



Jan., 1912. A new X-ray examination of the 

 skull showed that size of the sella turcica had not 

 essentially altered. The examination by a perime- 

 ter showed an entirely normal visual field. The 

 thyroid treatment was tried once more, which, 

 however, soon led to slight signs of hyperthyroid- 

 ism and hence had to be abandoned. The patient 

 was then ordered radium baths three times a week 

 with 100,000 Mache units per bath, which per- 

 haps exercised a favorable influence. At all events 

 there became apparent a distinct progress of the 

 development, as even the patient thought in June, 

 1912. The patient was now 174 cm. tall and still 

 somewhat fat. Abundant fat deposits were to be 



found in the hypogastric region. The pubic hairs were now well grown, but still showed 

 a horizontal boundary above. The trunk was still fully bald, and only in the axillae on 

 both sides were a few sparse hairs to be seen. The size of the penis and the testicles 

 corresponded to the age of the patient. It was stated that pollutions had not as yet 

 occurred. The voice had changed and the patient complained only very rarely of 

 headaches. Some adenoid vegetations in the nose were now removed. 



FIG. 68. Case of eunuchoidism 

 (Observation XL VIII). 



