THE SYMPATHETIC SYSTEM 163 



observations of genital dystrophies associated with altera- 

 tions of the adrenals and Gallais in 1912 described the 

 genito adrenal syndrome. 



This syndrome is found in the female sex (it is rare in 

 men), more frequently in little girls between 3 and 11. 

 There are two main types; adrenal pseudo hermaphroid- 

 ism and adrenal virilism. There are also mild types of 

 these two conditions. 



I. ADRENAL PSEUDO HERMAPHROIDISM. 



It is characterized by the co-existence in the same indi- 

 vidual of the sexual organs of one sex and the genital 

 glands of the opposite sex; the real sex of the individual 

 being indicated by that of the genital glands. 



For instance, an individual having feminine external 

 genitalia and testicles is an external male pseudo herma- 

 phrodite. An individual having ovaries and male external 

 genitalia, is an external female pseudo hermaphrodite. 

 The latter is the more common of the two observed in 

 adrenal pseudo hermaphroidism. 



These individuals, which in reality are women, are 

 considered as men ; they have a more or less well developed 

 penis, with hypospadia, a well formed scrotum containing 

 fat which is mistaken for the testicles. On rectal exami- 

 nation a prostate and even seminal vesicles are felt. But 

 on autopsy or during the course of a laparotomy ovaries 

 and tubes are found, sometimes a small uterus and vagina. 



The secondary sexual characteristics evolute at puberty 

 towards the male type; hairs appear on the abdomen and 

 thighs; the mustache and beard grow very thickly; the 

 voice, the character, the sexual instincts are those of the 

 male; the penis can become erected ; ejaculation is possible, 

 but it is made up of a prostatic liquid. 



This condition is incompatible with a long existence. 



