. Medical diseases of infancy and childhood. Congenital creiinisiu, showing an extreme degree of the condition. The patient a girl aged18 years at the time the photograph taken ; the stupid nmbecile) expression, the large tongue,olavicalar masses of fat, and general stunting of growth are well seen. A cretinous girl of nineteen, for instance, had the aspect of a dullchild of nine or ten ; she stood 3 ft. 8 in., could sjieak in a slow,monotonous voice, and could do a little house work (Fig. 24). Theage at which the defect in the bodily and mental de\elopment ofthe child is first notic
. Medical diseases of infancy and childhood. Congenital creiinisiu, showing an extreme degree of the condition. The patient a girl aged18 years at the time the photograph taken ; the stupid nmbecile) expression, the large tongue,olavicalar masses of fat, and general stunting of growth are well seen. A cretinous girl of nineteen, for instance, had the aspect of a dullchild of nine or ten ; she stood 3 ft. 8 in., could sjieak in a slow,monotonous voice, and could do a little house work (Fig. 24). Theage at which the defect in the bodily and mental de\elopment ofthe child is first noticed varies, but the aspect may be quite charac-17 258 DISEASES OF THE THYROID AND THYMUS GLANDS, teristic before or soon after the child has completed its first year(Fig. 25). The diagnosis^ owing to the dwarfing of the body, the conditionof the skin, the cervical lipomata, and the aspect of the face, is FiCr. Congenital cretinism. The same patient as Fig. 25 after treatment for six months with thyroidextract. (Dr. W. Rushton Parkers case; the history of the patient is related in the Brit. Med,Journ., 1896, vol. i., 1350.) usually easy ; but in infancy and early childhood it may sometimesbe difficult to feel certain that the mental deficiency may notown another cause. The type of idiocy commonly spoken of asMongolian, illustrated in Chapter XLL, presents a considerableresemblance to cretinism. Growth is stunted, the expression dull, CRETIXISM. 259 the mouth open, the tougiio often hu*ge, the movements nncertain,and speech, which is acquired hite, is moiiosyHabic. The skin iscoai-se, the subcutaneous tissues are thick, and marginal blepharitis Fu;.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectchildren, bookyear190
