LATE EUNUCHOIDISM 417 



Gaudy regards this case as " dysthyreoidie + dysorchidie." I believe, however, that, 

 in spite of this, late eunuchoidism stands in the foreground. 



Apparently also the observation of Foges belongs here. After bilateral luetic orchitis 

 there developed a "gynakomastie." The mammary glands were removed, microscopical 

 examination showing only fat and no glandular substances. Sexual sensation was much 

 reduced. 



C. Cases of other etiology. 



Observation of Cordier and Francillon. Thirty-five-year-old man. 175^ cm. tall, 

 lower length 90^ cm. hence distinctly predominating. Epiphyses united, eunuchoid 

 distribution of fat, skin pale, diffuse pigmentatk is. Hairs representing beard absent, 

 hair on cheeks sparse, atrophy of the genitals, libic'o present but coitus rare and incom- 

 plete. Weakness of memory. Patient is quarrelsome, easily excited, slight anemia with 

 hyperleucocytosis and mononucleosis (phthisis pulmonalis is present, however). Typhoid 

 fever at about twenty-four years of age. Before development was entirely normal and 

 potency was normal. Several months after the typhoid gradual development of genital 

 atrophy and impotence; temporarily, also, complete loss of libido. Great bodily weak- 

 ness, that later improved. Since that time increase in height about 3 cm. 



Observation of Gougerot and Gy. Fifty-two-year-old man, quite normal up to forty- 

 eighth year (except that he had had gonorrhea); about this time a hard to define acute 

 infectious disease, after this asthenia, polydipsia, polyuria, atrophy of the genitalia, im- 

 potence, loss of libido, retrogression of the secondary sexual characters, pigmentations on 

 the forehead, hands and feet,, cachexia. 



Observation of Galliard. Fifty-seven-year-old man, face very pale, mustache and 

 beard very sparse, no hair in the axillae, scrotum and penis small, testicles very small, 

 impotence. At fifty-three years eczema, "since that time development of the phenomena 

 described." 



Observation of Belfield. In a man twenty-seven years old there developed at the same 

 time with a polyuria a "retrograde puberty," atrophy of the testicles and the external 

 genitalia, retrogression of the secondary sexual characters, etc. The hair of the head 

 remained abundant. Examination took place when the man was thirty-nine years old. 

 X-ray showed sella turcica normal. Thyroidin therapy and later adrenalin were used 

 without results. Later was administered dried suprarenal gland, containing both cortex 

 and medulla. After four months the daily amount of urine had been reduced to one- 

 half. The body hairs had grown distinctly, the testicles were twice as large, and coitus 

 already had been several times performed. 



I would here refer to the observation of Josef son and Lundquist (case 2). We can 

 regard this case as a transition between eunuchoidism and late eunuchoidism. I have 

 described this case in detail in a previous section. 



Finally, more on account of the curiosity, I will report an observation described by 

 Hammond. The Pueblo Indians in New Mexico seem to have cultivated the so-called 

 mujaderes for purposes of pederasty. For this purpose already fully developed men are 

 excessively masturbated and at the same time are made to ride enormously. This treat- 

 ment causes an atrophy of the testicles and epididymises, the penis becomes smaller, 

 libido disappears, the testicles are insensitive to pressure, the mammae enlarge, the indi- 

 viduals become fat, the voice becomes higher and the bodily strength decreases. Ham- 

 mond himself has examined two such individuals. While in many respects the story 

 sounds fabulous (one of the mujaderes stated that he had suckled children), the agree- 

 ment with the picture of late eunuchoidism is so complete that I had at least to mention 

 the observation. 

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