THE SYMPATHETIC SYSTEM 249 



pseudo myxedema, reversible infantilism, feminism with 

 testicular atrophy, etc. 



As brought out by H. Claude, these names give an 

 incorrect pathogenic interpretation. 



The term infantilism does not belong to this syndrome, 

 for infantilism is characterized by an arrest in the general 

 development and of the genital organs together with the 

 non appearance of the secondary sexual characteristics. 

 These patients do not appear like children; they look older 

 than their age, with their wrinkles and their white hairs. 

 The majority are of normal height. They do not belong 

 to either the Lorain or Brissaud type of infantilism. 



Myxedema is not the correct word, for these patients 

 have not a round face, or infiltrations of the eyelids, or 

 mental disturbances or the blood picture of the child. All 

 that they have at the most is hypothyroidism. They do 

 not either have Addison's disease, for in the latter disease, 

 the melanodermia is more generalized and this syndrome 

 is a peculiar variety of pluriglandular insufficiency. 



OTHER TYPES OF PLURIGLANDULAR SYNDROMES. 



1. THYROID OVARIAN INSUFFICIENCY WITH PITU- 

 ITARY SYMPTOMS. To the symptoms of the preceding 

 type are added those of acromegalia. Renon and his 

 pupils, A. Delille, Monier-Vinard and Geraudel have 

 observed similar cases with mild syndromes of 

 acromegalia: abnormal growth, prominence of the jaws, 

 hypertrophy of the tongue, increase in size of the hands 

 and feet, together with headache and decrease in vision. 

 All these symptoms are improved by thyroid and 

 ovarian organo therapy while they are made worse 

 by pituitary medication. 



Thyroid ovarian insufficiency in a case of L. Levi co- 



