864 



AUGUST STRAUCH 



Fig. 4. Tlypophysial 

 adiposity. At the age of 

 eight years following ty- 

 phoid fever striking adi- 

 posity began to develop; 

 for six years headache 

 daily. Patient 21 years 

 old. Height, 57% inches, 

 the size of a normal thir- 

 teen-year-old hoy; weight 

 133 Ibs. Head large, face 

 round with immature ex- 

 pression. No beard or 

 mustache. High pitched 

 voice, small, graceful, 

 feminine hands. Eunuch- 

 oid localizations of adi- 

 pose tissue. Penis small, 

 deeply buried under the 

 cushion of adipose tissue 

 of the mons veneris. 

 No libido sexualis; rare- 

 ly erections. Epiphysial 

 discs of the phalanges 

 and metacarpals not yet 

 ossified. Author's case 

 fully described in his ar- 

 ticle on Infantilism. Am. 

 J. M. Sc., 1914, CXLVIII. 

 Original illustration, p. 

 256. 



voice is high-pitched, the beard absent; in short, 

 the secondary sexual characteristics are not nor- 

 mal. The face is round, fat, its expression very 

 childish, soft, without manly strength and char- 

 acter. A prominent feature is endogenous adipos- 

 ity, conspicuous by its "eunuchoid" localizations 

 more than by its degree. Deposits of fat tissue are 

 especially noticeable in the mammary region, on 

 the hips, and nates, on the thighs, as in women, or 

 small, well-fed children; in the lower half of the 

 abdomen that, as in infants, is separated by a deep 

 furrow from the excessive fat pad on the mons 

 veneris. The hands and feet have likewise an in- 

 fantile character, in that they are small, graceful, 

 chubby, and dimpled^ and reveal a retarded ossifi- 

 cation in the rontgenogram. Interesting and bear- 

 ing on the extent of similarity between hypophysial 

 dwarf and child are the results derived from a more 

 accurate comparison of the proportions and topo- 

 graphic relations of certain parts of the head of 

 hypophysial dwarfs with the corresponding data 

 in the normal child and adult. Mayer and Peritz 

 in their articles on infantilism illustrate these 

 anatomical relations by a number of drawings. 



According to the canon of the anthropologists 

 the face proper is the part reaching from the lower 

 edge of the chin to the eyebrows ; the part above is 

 the skull. In the adult the eyebrows are situated 

 above the middle of the total height of the head, 

 the proportion of the height of the face to that of 

 the skull being 4 to 3 ; whereas in the child the 

 eyebrows are located in the middle of the height 

 of the head, the skull being relatively larger than 

 in the adult and rather of globe shape. Until the 

 sixth year of life the face (in the anthropologic 

 sense) is broader than long, its length being some- 

 what smaller than the distance of the external can- 

 tin of the eyes. This form represents an inferior 

 stage of development (Mayer). During the stage 

 of growth the oblong form of the face of the adult 

 develops as the result of the only comparatively 

 slight increase of the distance of the external can- 

 thi. In hypophysial darfism, as Peritz demon- 

 strates by an illustration, the head occupies an 



