. Endocrinology. H.,aged 14 years. Preadolescent Hypopituitarism (Levi-Lorain Infan-tilism) ivith Absence of Prostate. IJSSKK 235 History: Mother had two babies that died after birth; walkedat 1¥2 years. Had whooping couKh, measles, mumps, diphtheria;tonsillectomy and adenoidectomy. Was brought to clinic because ofkleptomania and prevarication. Examination: Span equals heij^ht and upper measurementequals lower. Heifrht (in shoes), 60 inches; weight, dressed, 92^4pounds. Prominent frontal eminences, hrond saddle nose, rough, dry,cracked, scaly skhi. Infantile genitalia consisting of very small
. Endocrinology. H.,aged 14 years. Preadolescent Hypopituitarism (Levi-Lorain Infan-tilism) ivith Absence of Prostate. IJSSKK 235 History: Mother had two babies that died after birth; walkedat 1¥2 years. Had whooping couKh, measles, mumps, diphtheria;tonsillectomy and adenoidectomy. Was brought to clinic because ofkleptomania and prevarication. Examination: Span equals heij^ht and upper measurementequals lower. Heifrht (in shoes), 60 inches; weight, dressed, 92^4pounds. Prominent frontal eminences, hrond saddle nose, rough, dry,cracked, scaly skhi. Infantile genitalia consisting of very small penis,and small emjity scrotum. Right testis can be palpated by pushingindex finger in ring and milking testis downward; appears to be aboutsize of almond kernel. Right testis cannot be so plainly felt, thoughit appears to be in canal. Rectal examination: Anal .sphincter of goodtone; with examination there a marked erection, penis beingabout two inches in length and three-<|ua!ters in diameter. Corpora. cavernosa could be felt along perineal floor. No perineal body felt—entire absence of prostate. No secretion was expressed followingmassage. Patient has the external genital development of a U or 5year old hoy, though there is a slight downy gi-owth over pubic region. V. Pirquet: Negative. Wasserma)!: Negative. X-ray Plate of Skull—large thin calvarium; skull base steep;sphenoidal angle 151 degrees. Sella small and open. X-ray Plate of Hand—bones delicate in structure—terminal pha-langes show no evidence of tufting. Mental Age (Binet-Simon) : 15 years, no retardation. 236 ABSENCE OF PROSTATE AND ENDOCRTNES Case No. 4 (See Figure 3). U. C. O. P. D. No. 66862, boy, aged15 years. Infantilism ReHembling Levi-Lorain Type of Hypopitui-tarism. Prostate very s)naU. History: The family history was essentially negative except fora sister, aged 17, who had secondary sex characters, but was quiteshort and fat and mentally aged about 3. The past history revealedmeasles, mump
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectendocrinology, bookye
