THE PITUITAKY GLAND 67 



the year before. The left eye was blind and the 

 right nearly so. His appetite was large and he 

 always had a box of sweets at hand. He had be- 

 come very constipated. 



The patient's height was six feet six inches. He 

 weighed 269 pounds. "Neither these measurements 

 nor the photographs give more than a scant indica- 

 tion of his extraordinary size and the disproportion 

 of such parts as the head, hands and feet. He is 

 a veritable Gargantua." 



The X-ray indicated tumor enlargement of the 

 pituitary. The eyes were large, protruding, 

 widely separated, and showed a divergent squint 

 (neighboring symptom). 



The hands, always large, were now huge. The 

 feet were colossal : formerly he could wear a num- 

 ber eleven shoe, but now he had to have them spe- 

 cially made. 



He had practically no beard, and except for a 

 scant pubic growth of feminine distribution, the 

 skin of the trunk and extremities was practically 

 hairless. On the scalp the hair was abundant and 

 coarse. 



The patient was operated on nine days after ad- 

 mission, and the glandular tumor thereby removed. 

 The convalescence was uneventful. 



On December 23, six days after the operation, 

 there was an improvement in vision. 



Since the later symptoms were those of hypo- 



