828 



PETER BASSOE 



head appeared. The sella and hypophysis were greatly enlarged. The 

 testicles were atrophic. Most of the viscera were very large. The small 

 intestine measured 30.7 meters, the large 3.8 meters. 



Still more noteworthy is the "acromegalization" of a giantess ( a Lady 

 Aama"), only 17 years old at death, reported by Woods Hutchinson. 

 Scarcely one-third of the epiphyses were united and the extremities were 



very long in proportion to the short trunk. 

 The mammary glands were almost ab- 

 sent; in fact, there was nothing in her 

 appearance above the pubes to indicate 

 her sex. The lower jaw, nose, frontal 

 sinuses and the hands were unduly prom- 

 inent. At necropsy the uterus and ova- 

 ries were found to be extremely small, the 

 vagina and labise also small, but the cli- 

 toris was very large and resembled a 

 small penis. The sella and hypophysis 

 were enlarged. 



Two cases related by Kienbock may 

 be included. Case 1 was that of one of 

 the giant guardsmen who accompanied 

 Emperor William to Rome in 1903. He 

 did not mature sexually until 21 years 

 old, though his genitals were of normal 

 size and he later developed good sexual 

 power. The growth of beard and pubic 

 hairs was scant. When studied at 27 his 

 lower jaw, malar bones, and frontal 

 sinuses had become large, but the sella 

 was normal. His height was 202 cm. 

 Case 2 was that of a woman of 27 years, 

 200 cm. tall, who never had menstruated. 

 The breasts were undeveloped. She had 

 previously been slender and good looking, but now acromegalic signs were 

 marked and the sella enlarged. 



The oldest giant on record, a man of 76 years, bent, 189 cm. tall, but 

 over 2 meters if straightened up, reported by Sarteschi, had infantile 

 genitalia as well as acromegalic fades and extremities. 



A combination of gigantism, infantilism, feminism and acromegaly 

 existed in the case of Louis R., who died at 27 years, and whose skeleton 

 is most thoroughly described by R. Verneau. He was 214 cm. tall. His 

 muscular strength was poor, but he could eat and drink enormous quanti- 

 ties. His build was asymmetrical and his friends maintained that he 

 grew on one side at a time, so he sometimes was inclined to the right and 



Fig. 14. The Portuguese Giant, 

 Lopez. ( Lemos. ) 



