EUNUCHOIDISM 



4OI 



Summary. Here was a typical case of eunuchoidism. The headaches and the occa- 

 sional vomitings at first awakened the thought of a hypophysial tumor; but the X-ray 

 examination of the skull and the observations, continued for three years, and especiaUy 

 the absence of an inhibition of growth, ruled out this possibility, the inhibition of develop- 

 ment seemed to be only transitory, that has re- 

 cently been made up for very considerably. 



Observation XLIX. Dat., from Jerusalem, 

 twenty years old. Entered the clinic Dec., 1905. 

 Typhoid fever at the age of sixteen years; since 

 this time chronic enteritis. Total length 159 cm., 

 circumference of head 57 cm., of breast 74 cm., 

 of abdomen 87 cm., anterior superior spine to in- 

 ternal malleolus 88 cm., acromion to styloid 

 process of radius 57 cm., acromion to oleocranon 

 35 cm. 



Distantia spin, 26 cm. 



Distantia crist, 27^ cm. 



Distantia trochant, 29 cm. 



Slender build, marked emaciation, except that 

 there are fat deposits on the hips and mons 

 Veneris. Milk-teeth in part retained. The 

 penis and scrotum quite small. Testicles on 

 both sides in the inguinal canal; very few hairs 

 at the root of the penis. No hairs in the axillae, 

 no beard. Never erections, no libido. 



Marked hyperextensibility of the joints, espe- 

 cially the phalangeal joints of the fingers. The 

 fingers can be bent backward to a right angle, 

 and the knees can rest comfortably in the axillae. 

 Fingers are very long and slender. 



Sexual life entirely absent. 



X-ray examination shows that the distal epi- 

 physial junctures of the ulna and radius, the 

 proximal of the first metacarpal bones and proxi- 

 mal of the phalanges are still open; the bones 

 seem rarefied. 



The sella turcica is rather small. 



Striking is a short, round, and sharply de- 

 lineated calcification in the anterior part of the 

 sella turcica immediately beneath the clinoid 

 process. 



Slight genua valga. 



Voice high. 



Indistinct prominentia laryngea. 



Thyroid not palpable. 



Test for alimentary glycosuria (100 and 150 

 gm. dextrose respectively) negative. 



Observation L. M. W., twenty-three years 

 old. March, 1903. Genitalia hypoplastic, as 

 far back as patient can remember. Deposits of fat on the mons Veneris and hips, 

 which during the last few years have become more strongly developed. Never libido 

 26 



FIG. 70. Case of eunuchoidism 

 (Observation XLIX). 



