402 



THE DISEASES OF THE SEXUAL GLANDS 



erections often since the eighteenth year, during which the penis becomes about 3 cm. long. 

 Has never had sexual intercourse. Recently, several pollutions. Patient is 169 cm. tall. 

 Length of lower extremities (from ant. sup. spine of ileum to int. malleolus) 87 cm.; 

 length of the upper extremities (from head of humerus to end of third finger) 76 cm. 

 Span width 184 cm., genu valga. Copious deposits of fat on the hips, on the outer sides 

 of the thigh and on mons Veneris. Mammae not very rich in fat. No beard hairs at all. 

 Abundance of hair on head. Hairs in axillae sparse; pubic hairs present, not very luxuri- 

 ant, bounded above by a horizontal line. No hairs on the linea alba. No hairs on the 

 thighs. Genitalia hypoplastic. Penis small, scarcely i% cm. long. Each testicle 

 about size of a bean, soft. 



# 



FIG. 71. Eunuchoidism (Obser- 

 vation L). 



FIG. 72. Genitalia in case M. W. (Observation L) . 



X-ray. Sella turcica normal, the distal epiphysial junctures of the radius and ulna, 

 and the proximal of the first metacarpal phalanges are still open. 



Leucocytes, 7600 of which 46 per cent, are neutrophilic polymorphonuclear cells. 

 Voice higher. Prominentia laryngea not palpable. Thyroid gland not distinctly palpa- 

 ble. Test for alimentary glycosuria (100 and 150 gm. dextrose) negative. Character: 

 Silent, not communicative, somewhat shy. Intelligence normal. 



Observation LI . H. Ad., twenty-eight years. Entered clinic April, 1912. The patient 

 had nine brothers and sisters, five of whom died shortly after birth. One sister had chloro- 

 sis. One brother when a child apparently had laryngospasm. Since his sixteenth year 

 the patient has suffered with a gradually increasing chronic exudative articular rheuma- 

 tism. He states that once during an exacerbation of the joint affection, he lost much 

 weight. Then in the twenty-first year he was at a bath-resort and in a short time, 



