VIII, B, 2 Crowell: Statiis Thymico-lympliaticus gl 



panying the hypoplasia of the arteries is no constant phenomenon in the 

 lymphatic constitution. The aorta as well as the peripheral arteries show 

 an unusual narrowness, with thin walls and abnormal elasticity to such a 

 degree that a section of vessel after removal retracts to almost half its 

 original lengih. 



10. In the heart sometimes a surprising smallness (hypoplasia) is en- 

 countered, but the heart can also be of normal size or even hypertrophic. 

 The hypoplasia of the arterial vascular system is possibly commensurate 

 with the abnormal blood pressure in such individuals, and stands ap- 

 parently in relation to the hypoplasia of the adrenals and chromaffin 

 system found by Wiesel in many cases. 



Von Neusser's work has been consulted in preparing the follow- 

 ing description of the clinical appearance of such cases, but his 

 work was practically confined to adults, while Escherich(ii) and 

 Rowland (12) have furnished data for the diagnosis in children. 

 It goes without saying that one who is on the lookout for such 

 cases and who is familiar with their appearance and with the 

 diseases with which they are associated will recognize them 

 more frequently than one not so prepared. On account of the 

 relative obscurity of the findings this prepared mind is of more 

 importance in the detection of this disease than of many others. 



In males the individuals are usually well nourished and 

 gracefully molded, with smooth velvety skin. The features 

 are not infrequently of the classic type, and the neck rather 

 columnar in shape, being set rather abruptly upon square shoul- 

 ders without the usual sloping. The extremities are gracefully 

 constructed, and the thighs are rounded and usually arched or 

 rounded both anteriorly and laterally. The hair is scant, in- 

 cluding the beard and mustache, thoracic and axillary, abdomi- 

 nal, pubic, and that over the extremities. The pubic hair is 

 usually cut straight across as in the female. In fact, the whole 

 is practically a feminine type of body. 



The female, on the other hand, while preserving in part the 

 graceful feminine outlines of the body, and having for the most 

 part the same scantiness of hair, frequently presents hetero- 

 sexual characteristics, with deep base voice and some beard and 

 mustache. 



The diseases with which it is most frequently associated are 

 those of the ductless glands, as in Addison's and Basedow's 

 diseases, acromegaly, osteomalacia, and in brain tumors, and in 

 anomalies of the sexual organs such as hermaphroditism. In 

 Basedow's disease it is very frequent, and it is considered by 

 Shridde(8) and many others that the lymphocytosis which is so 

 frequent in Basedow's disease is dependent upon the lymphatic 



