MULTIGLANDULAR SYNDROMES 



897 



i. e., legs too long for thorax or vice versa. The scale for this determina- 

 tion is a fraction with the numerator as the distance from the sterno- 

 clavicular junction to the anterior superior spine of the ilium of the same 

 side, and the denominator the distance from the anterior superior spine to 



Fig. 4. Age thirteen and a half years. 

 Shows hypoplasia of genitals and a scrotal 

 fold surrounding base of penis. Absence 

 of hair. Bruise on raised arm from slight 

 pressure. Represents the second stage of 

 the syndrome with headache and fatigua- 

 bility. Pathological liar. 



Fig. 5. Feminine distribution of pubic 

 hair: large genitals; height 6 feet, 1 inch. 

 No hair on face. Seems well proportioned. 

 Low blood pressure; low blood sugar; 

 headaches and fatiguability. Represents 

 transition from 2nd to 3rd stages of 

 syndrome. 



the external malleolus; normally, this fraction is one-half a larger one 

 meaning too large a torso, while less than one-half represents too long a 

 leg; this is the torso-leg ratio. The joints are usually hyperextensible and 

 frequently the ligaments are so relaxed that dislocations are easily pro- 

 duced. The extremities can be thrown about like flails. While the teeth 



