2 Congenital Anomalies in a Native African Race 
(2) Dealing with those deviations from the normal in -which there is a change 
of a more or less general nature, I refer firstl}' to Infantilism, at the same time 
recognising that such a condition may not constitute a truly congenital anomaly. 
To the class designated Idiopathetic Infantilism I should relegate a woman 
aged 22 years seen in 1911 at Zomba who presented the figure and development 
of a girl of 13. Tliere was no breast development, no pubic or axillary hair and 
the rounded contours of the body and limbs usually associated with this age in a 
woman were wanting ; menstruation had not commenced. In other respects she 
appeared normal and her mental development was but little if at all below the 
average. 
(3) In W. Nyasa I encountered a very excellent example of the Ateliotic Dwarf, 
a perfect " little man," a man in miniature 1'25 metres in height. Another case 
which I think must be considered as one of simple dwarfism is here reproduced : — 
Samuti, aged 35, a Yao, 1"42 metres high. He is shewn together with a man of 
1'85 metres. Samuti shews no other abnormality (Plate I, (1)). 
No case of Cretinism or Myxoedeniatous Dtvarfism has been seen. I may here 
mention that Cachetic Infantilism is well seen in some cases of spinal caries 
among Natives just as among Europeans. 
A paper on " Congenital Humeral Micromely" in the Noiivelle Iconographie 
de la Salpetriere, T. xxiv. pp. 463 — 471, Paris 1911, by Dr S. A. Kinnier Wilson 
and myself, contains references to two cases of Achondroplasia in Nyasaland. 
Since then I have heard of two other cases and seen a fifth :— Etimu, male, aged 
25 years, a Yao, son of Masinjiri of Ndindi's near Chipoli, Dedza District. The 
subject stated that he had no children and that no member of the family was known 
to have been similarly affected. He is a perfect example of the condition as the 
photographs will attest, and further remarks are unnecessary (Plate I, (3) and (4)). 
The following measurements were made and tracings of iiis hands are here 
depicted (Fig. 1) : 
(1) Head: maximum length ...... 201 cm. 
(2) „ breadth 15-8 
(3) circumference ....... 60'0 
(4) Nose : length, base to root ...... 3'6 
(5) breadth, across nostrils ..... 4 5 
(6) Face : bizygomatic breadth ...... 14'0 
(7) length, nasion to chin ..... 11"3 
(8) „ to commissure of lips . . 6"7 
(9) Standing height 118-2 
(10) Span of arms ........ 113"3 
(11) Arm: acromion to external condyle of humerus. . 20 
