882 



HAEVEY G. BECK 



take on fat. Although he progressed satisfactorily in his studies at school, 

 yet at twenty-one his general demeanor was infantile ; point scale estimate 

 of mental, capacity was that of ten and a half years, and his intelligence 

 coefficient was .77. He lacked initiative and emotional poise; cried daily; 

 was quarrelsome, irritahle and stubborn, and lied to his employer. Since 

 the onset of his symptoms he had been unduly sensitive, and at times over- 

 affectionate. 



The patient was 5 feet 1% inches in height and weighed 162 Ibs., hav- 

 ing gained 40 Ibs. in three years. He presented a striking appearance 

 with special reference to distribution of fat and rudimentary condition of 

 the genitals. The deposits of fat were especially marked in the mammae, 

 which were large and pendulous. He had a marked protruding and over- 

 hanging abdomen, a large pad of fat just above the symphysis pubis and 



across the buttocks. The 

 thighs were huge, grace- 

 ful and tapering. The 

 pelvis was broad and sug- 

 gested that of the fem- 

 inine type. He exhibited 

 genu valgum, and there 

 was a slight degree of 

 lumbar lordosis present. 

 The circumference at 

 the plane of the nipple 

 was 96 cm. ; at the um- 

 bilicus 106 cm., and at 

 the trochanters 102 cm. 



The shape of the skull suggested acromegaly, the lower half of the face 

 being more prominent than the upper. There was a tendency to malar 

 prominence. 



The genital organs were underdeveloped and suggested that of a 

 boy ten years younger. The penis was rudimentary. The scrotum was 

 small and buried in fat. Both testicles were undescended and could only 

 be palpated with difficulty at the external abdominal rings. There was 

 no history of auto-eroticism or of any homo- or heterosexual trends. 

 Crines pubis were extremely scant and hirci almost entirely absent. 



The hands and feet were small and the nails ridged, brittle and cracked 

 readily. There was no abnormality of the visual fields. The blood pres- 

 sure and pulse rate were normal. The X-ray showed a normal sella, prog- 

 nathism with separation of the teeth and delayed epiphyseal closure of 

 the phalangeal bones. 



The urine was negative. The blood showed a red cell count of 4,126,- 

 000, hemoglobin 75 per cent, white count 8,960, and a differential count 

 as follows: poly morphonucl ear 64 per cent, basophiles 0.5 per cent, eosino- 





Fig. 11. Showing irregularity and separation of 

 teeth. (Case of Ebaugh and Hoskins. ) 



