TESTICLE AS GLAND OF INTERNAL SECRETION 519 



Treatment of Eunuchoidismus 



In the eunuchoid type with normal male sexual libido, the desideratum 

 for treatment is usually increase in the size of the penis. This can be 

 accomplished by special appliances of which my bird cage splint is a good 

 type. These cases often come for treatment for sterility and in the milder 

 grades feedings with anterior lobe pituitary and adrenal cortex may in- 

 crease spermatogenesis. 



In the eunuchoid type with absent or diminished male sexual libido, 

 the treatment should be administration of some of the various testicle or 

 interstitial cell products subcutaneously and if possible and without doubt, 

 best of all is the transplantation of a human testicle. 



TABLE OF DIFFERENTIAL DIAGNOSIS OF INFANTILISMS IN THE MALE, EUNUCHISMUS IN 

 ITS DIFFERENT FORMS, AND EUNUCHOIDISMUS 



From B. ONUF 



Beard and mus- 

 tache absent or 

 represented by a 

 few hairs only 

 at age of full ma- 

 turity. Features 

 delicate. Teeth 

 appear late, are 

 often eroded. 

 Expression 

 childlike. 



At age of full maturity, or at any age, beard and mustache are 

 entirely absent, or represented by a short lanugo. Face becomes 

 prematurely senile, its skin being yellowish, kid-leather-like in 

 consistency, atrophic, with radiate or vertical wrinkles of upper 

 lip, as in women. Hair of scalp turns prematurely gray. In 

 younger individuals, especially below 25, face may be ruddy, full, 

 but showing sometimes already incipient wrinkling. Expression 

 often effeminate. 



