VIRILISMUS 



355 



In none of these are there any other constant pathological findings. A few 

 others have been reported in which the description indicates that they 

 are examples of virilismus but the autopsy findings are lacking or incom- 

 plete. Such a one is that of Matthew Baillie, who in 1811 described a 

 typical case in which the chief pathological condition was an internal hydro- 

 cephalus, but who also had a large tumor attached to the left kidney and 

 adherent to the right kidney. 



Fig. 2. Genitalia of case in Figure 1. Note the enlarged clitoris. 



Hypernephromata of the suprarenal cortex have been found in boys: 

 all of these except one are probably pubertas precox for the genital develop- 

 ment was described as precocious. The exception is that of Guthrie and 

 Emery. The boy of four and three quarter years at death was thirty-six 

 inches tall and very obese, with hair on the face, pubes and back. The geni- 

 talia were noted as "not unduly developed." The testicles microscopically 

 were normal and contained no spermatozoa. The thyroid, thymus, pitui- 

 tary and pineal were normal. 



Post-Adolescent Group 



After adolescence virilismus may occur in women of distinctly feminine 

 type, in whom there has been no doubt as to sex. It is manifested by a 

 cessation of menstruation, atrophy of the breasts, adiposity, coarsening of 

 the voice, growth of hair on the face and body and in some of the enlarge- 

 ment of the clitoris. The hair may grow on the linea alba tapering to the 



