AUIPOSITAS DOLOROSA 



579 



After injection of 3 c.c. pituitrinum glandulare, and later 5 c.c., there was no increase 

 of temperature. 



The blood sugar-contents is normal. 

 Blood count: Leucocytes, 12,000, of which: 



Neutrophiles, 50 per .cent. 



Lymphocytes, 42 per cent. 





FIG. 99. Hypophysis in a case of adipositas dolorosa. 



Large mononuclears, 6 per cent. 

 Eosinophiles, 2 per cent. 



X-ray shows that the aorta is 7 cm., the heart 13.5 cm. broad. The genitals show 

 nothing especial. 



The sella turcica is seen (by X-ray) to be of normal size. 



Nerve status: The fundus is normal. The pupils react promptly. Patellar reflexes 

 are weak on both sides, superficial abdominal and cremasteric reflexes normal. No 

 Babinski, no Romberg. Slight paresis of the right facial nerve. Distinct alcoholic 

 tremor. Gross strength of the muscles reduced. Gait sonu-what in sec lire. Sensibility 

 not essentially disturbed. 



The microscopical examination of an excised piece of fat showed pronounced peri- 



