578 



OHKSITV \\D ADII'OSI I'AS Di >!.< >R()SA 



by folds. On tin- outer side of the tVmur palpation reveals a more diffuse embedding of 

 dense nodular fat. On the inner side is found on rarh side an mormons fat nodule. 

 The distribution of fat b everywhere Strictly symmetrical. At some places a re found thick 

 symmetrically disposed fat nodules of the si/.e of a lien's c-gg to that of an apple, often 

 the nodules are smaller, seeming to the palpating linger like small nodules. Everywhere 

 over the fat cushions are to be seen ectatic veins, around which are plainly evident in the 



FIG. 98. Thyroid in a case of adipositas dolo%sa (Observation LXX). 



whole course of the veins fat disposed like bunches of grapes. Here the fat is especially 

 painful. 



The left lobe of the thyroid gland shows a struma about the size of a goose egg. 



The border of the liver is palpable three finger-breadths below the border of the ribs, 

 and is hard. The urine shows urobilin and traces of albumin. 



Test as to alimentary glycosuria (100 gm. dextrose) negative. 



