EUNUCJIOIDISM 405 



Examination of the respiratory metabolism (Dr. Bernstein}. 



CO 2 in cc. O 2 in cc. 



176.5 221.0 



C0 2 2 RQ 



2.67 3.31 o. 



According to this the oxygen consumption is entirely normal. 

 Test as to alimentary glycosuria (100 and later 200 gm. dextrose negative). 

 Summary . Typical case of eunuchoidism, in which a slight function of the sexual 

 glands was present at the time of puberty, which, however, soon disappeared. 



Symptomatology. The form of eunuchoids is characterized by its slender- 

 ness. Even in fat individuals the bony build is slender, and especially the 

 tubular bones are striking by their length. The head is small, the hands 

 are slender and long. This is well shown in the accompanying photographs. 

 Tallness is the rule in most of the cases. There are cases known that were 



" 1 



FIG. 75. Genitalia in Case H (Observation LI). 



nearly 200 cm. tall. As far as I can judge by the literature, individuals with 

 eunuchoidism who are not pronouncedly tall are never, on the other hand, 

 small. In the case I reported the height is never below what corresponds to 

 the age. Only case Da is small, but here the parents are very small. Hence 

 there usually exists abnormal tallness and at all events never, unless especial 

 complications should exist, stunting of growth. We shall see later that this 

 is important for differential diagnosis from hypophysial dystrophy. 



The dimensions of the skeleton in eunuchoidism are characterized by the 

 especial length of the extremities. There is almost always found an excess 

 of the lower length over the upper length and of the span width over the body 

 length. I quote some examples. In the case of Duckworth the body length 



