INFLUENCE OF OVAEY ON GENEKATIVE TEACT 629 



of Josefson and Sundquist, to which reference has already been made. 

 Sexual feeling is always rudimentary or absent, and sterility is the in- 

 variable rule. 



Differential Diagnosis. Especially difficult is the differentiation be- 

 tween eunuchoidism and infantilism. Indeed, the confusion of the two 

 terms in the literature is very perplexing. Some authors, notably Wolf 

 and Peritz, are inclined to look upon eunuchoidism as only a form of 

 infantilism, a view which Falta, with what seem to be good reasons, 

 has vigorously opposed. Infantilism is characterized by a preservation 

 of the child type of body proportion the long trunk as compared with 

 the relatively short extremities, the low position of the navel, the relatively 

 large head, etc. All these are in contrast to the findings observed in 

 cases of genuine eunuchoidism. Furthermore, the mentality of the eu- 

 nuchoid, while subnormal, is hardly of the childish, retarded type seen in 

 cases of infantilism. Finally, in the latter condition, we not only do 

 not observe the characteristic adiposity seen in the eunuchoid, but, as a 

 matter of fact, the patients are apt to be quite slender and gracile. 



The other condition which may easily be confused with eunuchoidism 

 is adiposogenital dystrophy. In both conditions we find a hypoplasia 

 of the genital organs, in the one case primary in the gonads, in the other 

 secondary to hypopituitarism. In both, however, there is adiposity, of 

 somewhat similar distribution, although the hypopituitary patient often 

 shows rather characteristic accumulations about the shoulder region 

 ( a shoulder pads"). As already stated, however, the true eunuchoid is 

 practically always tall, with abnormally long extremities characteristics 

 lacking in the hypopituitary syndrome. In the latter, finally, there are 

 apt to be, in the case of pituitary tumor, pressure symptoms, such as 

 headache. 



Scope of the Term "Eunuchoidism/' Many authors have extended 

 the application of the term eunuchoidism to include cases of pituitary, 

 adrenal, thyroid or other ductless gland disorders characterized by atrophy 

 and loss of function of the genital glands. Climenko and Strauss, for 

 example, have recently reported several cases of "eunuchoidism," which 

 they ascribe to pituitary disease. Falta, on the other hand, limits the 

 scope of the term to those cases in which the sexual glands themselves 

 are primarily at fault, and in which, in addition to the sexual under- 

 development, there are present such characteristic symptoms as the typical 

 disproportion between the trunk and the limbs. This would seem to be 

 the proper viewpoint. 



Late eunuchoidism occurring in adults as a result of severe disease 

 of the genital glands has been frequently described in men, but no case 

 has been reported in the female. 



Treatment of Female Eunuchoidism. Little need be said concerning 

 the treatment of this rare condition, especially since the results are not 



