470 



VEGETATIVE DISTURBANCES 



nose not retracted, skin everywhere elastic, feels moist. Cryptorchidism. Pilocarpine 

 o.oi gm. elicits minimal sweats, minimal salivation. 



o.ooi gm. adrenalin shows strong action on the pulse and on the blood-pressure, distinct 

 diuretic action, no glycosuria. 



Leucocytes, 9400, of which: 



Neutrophiles, 55.1 per cent. 



Large mononuclears, 8.3 per cent. 



Lymphocytes, 33.3 per cent. 



Eosinophiles, 3.3 per cent. 



FIG. 82. X-ray picture of the hand in true infantilism (Observation LVI). 

 closure of the epiphysial junctures. 



Delav of the 



From Nov. 14 on, one thyroidin tablet a day. On Dec. 18, o.ooi gm. adrenalin. 

 Strong action on the pulse and blood-pressure; now 1.43 gm. sugar in the urine. 



Under the influence of the thyroidin medication which now has lasted about six weeks, 

 the pulse increases hardly at all, no manifestations of intoxication. 



On entrance the X-ray examination of the skeleton of the hand showed the following: 

 The distal epiphysis of the ulna, which should be deposited normally at seventh year, is 

 here entirely absent. 



The bone nuclei of the skeleton of the wrist are abnormally small. 



