862 



AUGUST STRAUCH 



namely norf-growth of the hair about the genitalia, in the axillae, in the 

 male absence of beard, the hairs on the trunk and the extremities ; the per- 

 sistence of a high pitched voice and the lack of the normal transformation 



of the psyche at puberty. Due to the 

 lack of the inhibitory or growth-restrain- 

 ing forces that issue from the normally 

 functionating gonads at the end of 

 puberty, the skeletal dimensions, espe- 

 cially those of the extremities, attain an 

 increased length, thus leading to gigan- 

 tism with a comparatively large span 

 and particularly a preponderance of the 

 "lower length" over the "upper length" 

 of the body. The persistence of the 

 epiphysial discs renders the longitudinal 

 growth possible beyond the normal time, 

 occasionally beyond the age of thirty 

 years. Similar conditions exist among 

 eunuchoids. Tandler and Grosz have 

 offered a splendid presentation of the 

 symptom complex of agenitalism and 

 hypogenitalism, derived especially from 

 their observations on the Skopzes of 

 "Russia, in whom castration from reli- 

 gious motives upon a large scale offered 

 opportunity to study its effects. These 

 observers distinguish two clinical forms 

 of dysgenitalism, namely gigantism and 

 dysgenital obesity, with transitional 

 forms. They have been discussed in 

 other chapters. 



There is no doubt that a number of 

 the somatic characteristics correspond to 

 those of childhood, so that such compe- 

 tent authors as Anton, Peritz and several 

 among the French felt induced to class- 

 ify -eunuchoidism as a dysgenital form 

 of universal infantilism (Gigantisme 

 avec infantilisme). But other investi- 

 gators as Falta, Tandler and Grosz do not accept this classification and, as 

 mentioned before, restrict the term infantilism to those forms that have 

 infantile or childish dimensions, to the so-called dystrophic types of our- 

 classification. 



Eunuchoids, indeed, if complications are absent, are, on the contrary, 



Fig. 3. Infantilism of Brissaud's 

 type. Patient seven years old; beside 

 a normally developed boy of the same 

 age. Her weight 20 Ibs. (normal for 

 the age, 49 Ibs. ) , her height 29 inches 

 (normal for the age 45 inches) ; ex- 

 pressed relatively, this child at seven 

 years has a weight normal to one of 

 ten months, and a height to one of 

 twenty months. Original illustration 

 in Griffith's (J. P. C.) article on In- 

 fantilism. Am. J. D. Cli. 1918, XVI, 

 105 (Fig. 1). 



