886 



HAKVEY G. BECK 



Illustrative Case III (Fig. 15). The following is an example of 

 pituitary dwarfism with dystrophia adiposogenitalis in a boy aged 17 years, 

 seen in consultation with Dr. Gillis and Dr. Krause. His father is living 

 and well, of medium height and weighing 148 pounds. His mother had 

 died eleven years before from a tumor at the base of the brain. She had 

 suffered for seven years with headache previous to her death, and was sick 

 at the time of the' birth of the patient. There is one brother living and 

 well, 20 years old, normally developed both mentally and physically and 

 five feet, nine inches tall. One sister died in infancy. 



Fig. 15. Dystrophia adiposogenitalis in a boy seventeen years of age. Note the 

 feminine characteristics; well developed breasts, large mons, broad hips and genii 

 valgum, also the genital hypoplasia, absence of crines pubis and shortness of the 

 lower extremities. 



The patient was normal at birth and remained so until he was 13 

 years of age when he ceased to grow. He entered school at the age of six 

 and a half years, and progressed favorably in his studies until he com- 

 pleted the seventh grade, when he discontinued school on account of droop- 

 ing of the left eyelid. In his play he showed a special fondness for base- 

 ball and the usual outdoor games, and always selected boys of his own age 

 for playmates. He had no sexual awakening; no erections and no erotism. 

 His demeanor was that of a child well disciplined, and he had a cheerful 



