876 



HAEVEY G. BECK 



If the process begins later during the growing period, the stature 

 is somewhat diminished in size but usually not sufficient to be classed as 

 dwarf. However, growth may suddenly become arrested at any age when 

 the infantile characteristics will be retained throughout life. 



In the adult form of dystrophia adiposogenitalis in which the symp- 

 toms date from the period of adolescence other changes than the mere 

 failure of long bones to develop occur, especially in the male in which 





Fig. 7. Delayed cpiphyseal union and tapering of the fingers. (Case of Ebaugh 

 and lloskins.) 



the skeletal structure is built on feminine lines, to which reference has 

 previously been made. 



The most significant of these are the broad pelvis, genu valgum and 

 long hands with tapering fingers. X-ray of the terminal phalanges gen- 

 erally shows persistent epiphyseal lines. In large hypophyseal strumas 

 associated with hypopituitarism the upper maxilla may become promi- 

 nent. This condition has been designated maxillary prognathism in 

 contradistinction to mandibular prognathism characteristic of acromegaly 

 (Cushing(&)). The head is often small, the distance between the eyes 

 narrowed and the teeth broad and malformed. 



