888 



HAKVEY G. BECK 



facial lymph glands were slightly enlarged. He exhibited the character- 

 istic pituitary hand (type en petite) with delicate tapering fingers and 

 absence of^the crescents in nearly all of the nails. (Eig. 16.) There was 

 marked vasomotor congestion of both hands. The genital organs were 

 infantile in character; both testicles were descended and about the size 

 of an olive. The scrotum was normally developed and the mons was very 

 large. The penis was rudimentary, measuring 3 cm. in length, and was 

 partially buried in a cushion of fat formed by the enlarged mons. The 

 lower extremities were relatively short. Genu valgum and pes planus 

 were marked. Tendon reflexes were normal. 



Fig. 17. Closed-in sella of case illustrated in Figure 15. (Radiogram by Dr. 

 Cotton.) 



Ophthalmic Examination. R. vision 20/30. L. vision 20/70 due to 

 squint. Left eye showed almost complete paralysis of the third nerve; 

 ptosis, partially dilated pupil. ~No movements up, down, in, from beyond 

 the midline. Eyegrounds were normal. Fields showed slight contraction 

 ior white; the fields for red were normal. (Dr. Downey.) 



Laboratory Findings. Rontgenograms exhibited malformed and 

 closcd-iii sella turcica, some atrophy of the bones of the hand and fore- 

 arm with widening of the epiphyseal lines (Figs. 17, 18.) Repeated 

 urinary examinations were negative. Examination of the blood showed: 

 hemoglobin 85, erythrocytes 4,000,000, leukocytes 5,860, differential 

 count neutrophiles 7(J, small monoimclears 19, large mononuclears 4, 



