The Medical clinics of North America . Fig. 74.—Case I. Before treat-ment was started. Note thick nose,puffy lips, pigmented face, baldness,and sleepy, heavy Fig. 75.—Case I. Three weeksafter thyroxin was started. Notethinning of chin and neck, and espe-cially the bright, wide-awake expres-sion. Palpebral apertures markedlywidened as compared with Fig. 74. r^ *^^v l ?^>: Fig. 76.—Case I. Three weekslater. Note further reduction in puf-finess of face and neck. Also notebeginning of hair growth, which is ofa fine texture. Eyes still brighter. Fig. 77.—Case I. February,1922, four
The Medical clinics of North America . Fig. 74.—Case I. Before treat-ment was started. Note thick nose,puffy lips, pigmented face, baldness,and sleepy, heavy Fig. 75.—Case I. Three weeksafter thyroxin was started. Notethinning of chin and neck, and espe-cially the bright, wide-awake expres-sion. Palpebral apertures markedlywidened as compared with Fig. 74. r^ *^^v l ?^>: Fig. 76.—Case I. Three weekslater. Note further reduction in puf-finess of face and neck. Also notebeginning of hair growth, which is ofa fine texture. Eyes still brighter. Fig. 77.—Case I. February,1922, four months after beginningthyroxin therapy. Note the heavygrowth of hair. Facial expressionmore vouthful and cheerful. 336 HANS LISSER longer constipated. He has thrown off most of his extra cover-ings at night and no longer feels the cold. In fact, this increasedwarmth of the body and the realization of it was the first changenoted by the patient after thyroxin was begun. It seems diffi-cult to believe and embarrassing to record that this patientwent the rounds of physicians for over ten years in quest ofdiagnosis and relief, and it is because of this that hi
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