Sajous's analytical cyclopædia of practical medicine . ly, apparently exhibit aheavier growth. The eyelashes andother short hairy appendages are alsocoarse and stiff. The bones of the cranium propershow modifications similar to those inthe facial bones. These changes will bedescribed later, when the results ob-tained by radiogr?/phic examination arediscussed. In the spinal region, the vertebras,taken as a whole, show increased vol-ume. As a result, changes in the spinalcurves are brought about, specifically, of a cervicodorsalkyphosis, with or without lumbar lor-dosis and scoli
Sajous's analytical cyclopædia of practical medicine . ly, apparently exhibit aheavier growth. The eyelashes andother short hairy appendages are alsocoarse and stiff. The bones of the cranium propershow modifications similar to those inthe facial bones. These changes will bedescribed later, when the results ob-tained by radiogr?/phic examination arediscussed. In the spinal region, the vertebras,taken as a whole, show increased vol-ume. As a result, changes in the spinalcurves are brought about, specifically, of a cervicodorsalkyphosis, with or without lumbar lor-dosis and scoliosis. The thorax becomes more capaciousand undergoes alterations in shape. Itbecomes prominent anteriorly. Thoughits anteroposterior diameter is increased,it is flattened laterally. The broadenedsternum tends especially to spread outabove, and develops transverse clavicles become thickened andtheir curves exaggerated. The ribscome mutually into contact, or evenoverlap, and the costal cartilages becomeossified. The lower costal arches slant. Acromegfalic macrogrlossia, (P. E, Launois) downward, sometimes so markedly asto reach the crest of the ilium when thesubject is in the sitting posture. Thescapulae are thickened, and their acro-mial and coracoid processes stand outin bold relief beneath the skin. These deformities interfere in somedegree with the thoracic excursions,sufficiently so, indeed, to bring about,among acromegalic subjects, a modifi-cation in the type of breathing, whichbecomes permanently abdominal. \Mienthey are all present in the same patientand are very pronounced, a double humpin the back may be pronounced, recall-ing the classic conformation of the Ital- 276 ACROMEGALY (LAUNOIS AX 13 CESBROX). ian Punchinello, whom Pierre Marieconsiders the ancestor of dystrophy makes its first appear-ance at the distal ends of the extremi-ties. The patients attention is oftenattracted to the condition by the con-stantly increasing tightness of hi
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
