THE SYMPATHETIC SYSTEM 



165 



while at the same time the face takes on a masculine 

 appearance. As regards the genitals the labia majora 

 fall. The clitoris is hypertrophied, sometimes covered 

 with a long prepuce. The voice becomes deeper, the 

 muscular strength increases. 



Fia. 4. Hirsutlsm (Case of Drs. Guinon and Bijon). 



The disposition changes; the patient becomes quarrel- 

 some. In some cases, disturbances of mental activities 

 occur; there may be loss of sexual appetite or inver- 

 sion. Sometimes a certain amount of adiposity is noted, 

 together with a slight glycosuria and sometimes a pigmen- 

 tation, which gives a dirty gray appearance, limited to the 

 forehead, axillia, the back or the superior limbs and differs 

 in this manner from Addison's disease. 



