472 



VEGETATIVE DISTURBANCES 



Length of body, in cm., lower length, 62 cm., span breadth, 113.5 cm -> length of arm, 

 38 cm. 



Slender, weakly child, thin, looks like a child eight years old. Pallid. The head, rela- 

 tively large (circumference, 54 cm.). Frontal protuberances somewhat prominent. 



Adenoid vegetations in nasopharyngeal space, tonsils enlarged; in the neck, in the 

 groins, everywhere, are palpable glands up to the size of a bean. 



Distinct parallel furrows on the incisor teeth of the lower jaw. Slight form of pectus 



carinatus. Some lordosis of the lumbar spine. 

 Slight affection of the apices of the lungs on both 

 sides. 



Erythrocytes, 2,800,000, 

 Hemoglobin, 60 per cent. 

 Leucocytes, 10,400, of which: 

 Neutrophiles, 52.0 per cent. 

 Lymphocytes, 41.1 per cent. 

 Large mononuclears, 2.5 per cent. 

 Eosinophiles, 4.0 per cent. 

 Mast cells, 0.5 per cent. 



Slight poikilocytosis. X-ray examination. Vault 

 of cranium thin. Sella turcica normal. No basis for 

 thymus-rest. Right divergent strabismus, both pa- 

 pillae somewhat Washed out and pale, otherwise eye 

 grounds and vision normal. 



X-ray examination of the hand; the skeleton of 

 the hand about corresponds with that of a ten-yea"r- 

 old boy. 



Symptomatology. Ordinarily the dis- 

 turbance in growth in true infantilism is very 

 significant. .The skeleton shows a reten- 

 tion of the childish dimensions, that is the 

 lower length does not exceed the upper 

 length, or exceeds it only a little. The head 

 is relatively large, the bones are slender, the 

 navel is low, the pelvis is neither masculine 

 nor feminine, but infantile. The occurrence 

 of the bone-nuclei and the closures of epiphy- 

 ses are delayed. 



The genitalia remain at a child's stage 

 of development, they have the size and di- 

 mensions of a child's genitalia; we are not 

 dealing here with a falling away of the 

 genital function, but with a function which 

 corresponds with that of the years of child- 

 hood. Correspondingly there is a remaining behind of the secondary sexual 

 characters. Also the vita sexualis is that of a child. 



The lymphatic apparatus shows deficient involution. We find there- 

 fore commonly a relatively great count of lymphocytes in the blood, on 



FIG. 84. Infantilism (Observation 

 LIX). 



