404 



THE DISEASES OF THE SEXUAL GLANDS 



gained 42 to 48 kg. Later this became obesity. 

 Then during another attack of articular rheumatism 

 he again lost weight. Now the body weight is 

 66y 2 kg. 



The patient states that he has experienced sexual 

 sensations since the twelfth year of life. Later he 

 often had erections, in which the penis became quite 

 stiff. His inclination was always for young boys, 

 however, and occasionally he practised active pe- 

 derasty. Since his sixteenth year, his inclination 

 gradually turned to women, but the libido was never 

 very strong. He had love-episodes but he never 

 attempted coitus, as he knew that he was im- 

 potent. Later, never pollutions; the penis has 

 always been very small. 



The patient is 176 cm. tall, of typical eunuch- 

 oidal form and dimensions. The span width is 

 185^4 cm., the lower length nearly 100 cm. The 

 thorax is small in relation to the pelvis, the head is 

 small, the prominentia laryngea is only indicated. 

 Bilateral genua valga. 



The patient is very intelligent but very taciturn 

 speaking only when he is spoken to. The [mental] 

 attitude is often depressed. 



The voice is high, the thyroid gland not distinctly 

 palpable. Typical distribution of fat, and a thick 

 pad of fat on and superior to the mons Veneris. 

 Marked fat collection in the hypogastric region, 

 which is separated from the mons Veneris by a deep 

 fissure, also fat on the outer sides of the thighs and 

 on the buttocks. The breasts are very rich in fat. 

 On the hips are striae (the results of former obesity). 



Hair. No beard, no axillary hairs, hairs on the 

 mons Veneris only sparse, forming a horizontal line 

 above. No perineal hair. Hair on the trunk other- 

 wise absent. 



The penis is 3 cm. long, as in a five-year-old 

 boy. The testicles are palpable in the scrotum, 

 above the size of beans, very soft. The prostate is 

 very small. 



The breadth of the heart as shown by X-ray 

 examination is only 10^ cm. 



The X-ray examination of the skull shows a 

 small but otherwise well formed sella turcica. X-ray examination of the hand shows that 

 the proximal epiphysial junctures of the phalanges are still open, and that the distal are 

 closed. Open are the proximal of the first metacarpal and the distal of the radius and ulna. 

 Blood examination: Erythrocytes, 5,800,000. 

 Hemoglobin, 75 per cent. 

 Leucocytes, 5500, of which: 

 Neutrophiles, 59 per cent. 

 Lymphocytes, i6> per cent. 

 Large mononuclears, 22^ per cent. 

 Eosinophiles, 3 per cent. 



FIG. 74. Eunuchoidism (Observa- 

 tion LI). 



