878 HAEVEY G. BECK 



prostate and seminal vesicles were the size of those of a nursing infant. 

 The thyroid weighed 2.0 grams; the thymus, which contained a large 

 amount orf fat weighed 2.5 grams, and the adrenals weighed 2.0 grams. 

 There were no histological changes found in the thyroid, adrenals, pan- 

 creas, liver and spleen. The pituitary was very small weighing 0.2 gram. 

 Macroscopically the gland showed the posterior lobe normal and intact; 

 the anterior lobe was completely atrophied. 



Genital Hypoplasia 



Faulty development of the genitalia and of the secondary sexual char- 

 acters occur in typical cases of dystrophia adipo<sogenitalis. In the male 

 the penis is rudimentary and it may be almost completely buried in cush- 

 ions of fat. Cryptorchidism with absence of spermatogenesis frequently 

 occurs ; one or both testicles may either be partially or entirely unde- 



Fig. 9. Genital hypoplasia in case of dystrophia adiposogenitalis. (After Falta.) 



scended. They are diminutive in size. The scrotum and prostate also 

 remain abnormally small. In the female the external genitalia as well 

 as the reproductive organs remain infantile. The clitoris is short and 

 underdeveloped and the labia minora are small. The uterus retains its 

 infantile shape and size, and the ovaries may not be palpable. Although 

 the breasts appear large and normally developed, they are deficient in 

 glandular structure and the nipples are small and retracted. The size of 

 the breast is mainly due to an increased accumulation of fatty tissue. As 



