228 ENDOCRINE GLANDS 



Attacks of paroxysmal tachycardia which are 

 very painful. 



Abnormal pigmentations of the lids, face and so-called 

 ovarian spots. 



Delpech, then Dalche, have also considered as symp- 

 toms of the menopause: 



Tetany. 



Acroparesthesia. 



Dercum's disease. 



Chronic rheumatism. 



Skin infections; eczema, purigo, etc. 



III. CONGENITAL OVARIAN INSUFFICIENCY. 



This results in ovarian infantilism comparable to 

 testicular infantilism. It is found in small women whose 

 height rarely exceeds 1.50 meters and weight 40 or 50 

 kilograms. They have a malformation or an arrest in 

 development of the genital organs; the uterus is infantile. 

 The secondary sexual characteristics are missing; hairs 

 are missing in the axilla and pubis, or are very scarce. 

 The breasts do not develop. Amenorrhea is the rule and 

 co-exists with a slight degree of obesity. 



IV. OVARIAN INSUFFICIENCY AT PUBERTY. 



Rokitansky considers chlorosis as an indication of 

 ovarian hypoplasia, and Spillman, Etienne and Demange 

 also believe that it is due to a hypo function of the ovary. 

 Whatever the exact nature of this pathological condition, 

 it is certain that genital disturbances are constant in 

 chlorosis and that the condition of the blood is improved 

 by marriage, due to the development of the genital 

 functions, and that the re-appearance of regular menstru- 

 ation coincides in general with the clinical cure of 

 the patient. 



