LATE EUNUCHOIDISM 415 



that previously had been abundant, became at the same time always sparser, the muscu- 

 lar strength decreased, a certain amount of libido was retained, but ejaculations had never 

 occurred. 



Observations of Gallavardin and Rebattu. Twenty-six-year-old man, 174 cm. tall, 

 looks like a fifteen-year-old youth. Preponderance of the lower length over the upper 

 length (femur + tibia = 90^ cm.). The distal epiphyses of the radius and ulna have 

 as yet not united. The voice that previously had been mannish, is now shrill, the skin 

 is white and delicate, scrotum and penis are very small (as in a six- to ten-year-old boy). 



At eighteen and one-half years of age the man had received a violent knock in the 

 scrotal region, after which for three hours he was unconscious. After this there devel- 

 oped a considerable swelling of the testicles and bloody suffusion of the skin of the 

 scrotum; these phenomena disappeared after three months. Later the testicles became 

 small, the penis atrophied, the secondary sexual characters and the libido disappeared, 

 and complete impotence appeared. The photograph accompanying the report of the 

 case shows well the eunuchoidal fat distribution. 



Observation of Cordier. Twenty-nine-year-old man, looks like an eighteen-year-old 

 youth. Genitalia and prostate markedly atrophic, secondary sexual characters and libido 

 have almost disappeared. The man married at the age of twenty-five years, is the 

 father of one child. At twenty-five and one-half years a trauma that affected the tes- 

 ticles. Gardual falling out of the hairs of the mustache, the beard since then has become 

 very sparse, marked reduction of libido. 



Observation of Stieda. Thirty-year-old man. At the age of fifteen both testicles 

 bruised. From then on the testicles became gradually smaller, he first remained behind 

 in growth and then grew appreciably between the twentieth and thirtieth years. The 

 voice was only somewhat rough, and the. potentio coeundi remained, although there was 

 no ejaculation of semen. The mammary glands grew somewhat in circumference. 

 According to his statement a growth about the size of a thaler appeared at their site 

 on each side. The man remained beardless, there was hair on the mons Veneris but the 

 upper border of this hair was horizontal. Height 175 cm., the extremities were remark- 

 ably long, the breadth of the shoulders was slight, the pelvis broad, the larynx small, 

 internal and external genitalia had remained behind in development. The testicles 

 were about the size of beans, the epididymises were about just as large. 



Observation of Riedinger. The patient in his twenty-first year suffered a severe injury 

 in which the anterior perineal region was bruised and the scrotum torn, and the testicles 

 and prostate severely injured. The penis had previously been of normal size (examined 

 by Rieder). Erections were still possible the first year after the injury, but there were no 

 signs of ejaculations. Now erections only very seldom, no sexual intercourse any more. 

 The man is 163 cm. tall, the lower extremities (from the trochanters down) are 86 cm. 

 long, the skin is pale in color, the skin of the face lax and wrinkled. He appears much 

 older than he is. The skin is otherwise lax and flabby. He is very thin; the accom- 

 panying photograph allows one readily to recognize, however, the abundance of fat in the 

 breasts and on the mons Veneris. The penis is 6 cm. long, reduced in all its dimensions. 

 The pubic hairs are very sparse and the upper border of the pubic hairiness is horizontal. 

 The hairs in the axillary and anal region are also sparse. No beard (before the injury 

 there was a beard). The voice is' mannish, lately a goiter has developed. The sella 

 turcica, as the author kindly informed me in a written communication, is not enlarged. 



Own Observation LII. Forty-two-year-old man, rather corpulent, breasts very rich 

 in fat, mons Veneris and hips somewhat more rich in fat. Sparse hairiness of the axillae. 

 Genitalia rather well covered with hairs. Both the testicles as large as peas, very soft, 

 the scrotum small, without tension, cremasteric reflexes absent. Bilateral scars in the 

 inguinal regions as the result of operation. 



