372 



THE DUCTLESS GLANDS 



The thorax is en- 

 larged, especially from 

 back to front. There 

 are various degrees of 

 kyphosis, scoliosis and 

 lordosis. 



The hands are in- 

 creased in size, the 

 fingers are thick and 

 sometimes sausage- 

 shaped. Though the 

 bones of the hand are 

 sometimes increased in 

 length, most of the en- 

 largement is in the sub- 

 cutaneous tissue, with 

 increase of the points 

 of attachment of the 

 tendons. (See Fig. 99.) 

 The ankles and feet 

 are decidedly enlarged. 

 The skin is usually 

 dry, but perspiration 



is easily induced. Flushing tingling and other vasomotor 

 changes are frequent. In the 

 later stages the muscles become 

 small and weak, a change which 

 accounts for the peculiar posi- 

 tion of the head, the kyphosis, 

 and other deformities. 



Affections of sight are common, 

 blurring of vision, concentric nar- 

 rowing of the visual field, bitem- 

 poral hemianopia, optic atrophy 

 are often met with. The pupils 

 may be dilated. The sixth and 

 third nerves may also be affected. 

 Painful noises in the ears are fre- 

 quent and deafness may super- 

 vene. Loss of memory, mental 



slowness, depression Or delusions creases. (From Gushing.) 



FIG. 



J. Typical acromegalic profile. 

 (From Gushing.) 



