408 THE DISEASES OF THE SEXUAL GLANDS 



degree. Tandler and Grosz report a case in which a 6 kg. pad of fat was re- 

 moved by operation from the hypogastric region, which removal seemed to 

 make the patient easier. 



The hair of the head is abundant. There are often lanugo hairs on the 

 face, especially in front of the ears and on the chin and upper lip. There are 

 no mustache and beard. In later years occur on the lower jaw sparse bristly 

 hairs, such as are seen in old women. The hair in the axillae is absent or 

 only sparse, that on the mons Veneris is limited to a few short hairs at the 

 root of the penis. When they are more abundant in this situation they are 

 limited above by a horizontal line. There are no hairs on the perineum; nor 

 on the trunk and extremities. 



The skin is remarkably delicate, pale, velvety, and sometimes has a fawn- 

 yellowish color. The face in older individuals often shows folds and wrinkles. 



As 'a rule the musculature is but little developed, and shows but slight 

 tonus. 



In most cases the thyroid glands seem to have a slighter volume, at least 

 the statement is repeatedly made that the thyroid was not palpable. 



The genitalia are pronouncedly hypoplastic. The penis is always very 

 small and sometimes quite buried in the fat pad on the mons Veneris. The 

 scrotum is small and smooth and hairless. The prostate is small. The 

 testicles are small, soft, and sometimes not larger than a pea. Sometimes 

 they are not or only partially descended on one or both sides. In this case 

 the inguinal canals are open. Autopsies were made in the case of Etienne, 

 Jeandelize and Richon, and in the case of Duckworth and of Tandler and Grosz. 

 In the case first named the testicles were very small, fibrous (3 gm.), the inter- 

 stitial glands were degenerated. Also the prostate was very fibrous. On 

 microscopical examination, Tandler and Grosz found sparse seminal canals 

 and sparsely developed interstitial substance. Also the seminal vesicles 

 were small, but the epididymis on the other hand, well developed. 



Cases of female eunuchoidism seem to be rare. Josef son and Lundquist 

 have reported such a case, which I shall quote somewhat in detail. 



Thirty-four-year-old woman who had kept on growing from the fifteenth year on 

 (the growth had been especially active up to the twenty-fourth year); she was 183.6 

 cm. tall (upper length 118 cm.), she had never menstruated and had felt only slight in- 

 clination for men; the mammae were small, flat, without palpable glandular substances, 

 the nipples very small; she had rather a mannish appearance, but a feminine voice. The 

 form of the pelvis was rather womanly. The epiphysial junctures were closed, the sella 

 turcica not enlarged. Examination of the genitalia showed very small labia minora, a 

 hypertrophic clitoris, the vestibule was rather narrow, the internal genitalia were not 

 palpable. No introitus vaginae or hymen. 



In eunuchoids the genital function is always markedly reduced or entirely 

 absent. In many cases, however, erections are possible despite the smallness 

 of the penis. I refer to the Observations Da and H. In many cases libido 



