. Acromegaly . f IG. 1. Ilhiftration of a man, about 21 of age, before the appearance of the disease. Fig. 2. Illustration of case of Fig. 1, 33 years old, \vith well-marked acromegaly. the change of appearance in an as yet unj^ublished case.*In some cases the patient feels in good health,is strong, cheerful, and in good spirits. * I am indebted to Primarius Dr. F. Kovacs, of Vienna, for kindly handing meOTcr the photographs and history of the ACROMEGALY. 15 But usually with tlie cliange in tlie countenance there isassociated a whole train of disorders. Teiy ofte
. Acromegaly . f IG. 1. Ilhiftration of a man, about 21 of age, before the appearance of the disease. Fig. 2. Illustration of case of Fig. 1, 33 years old, \vith well-marked acromegaly. the change of appearance in an as yet unj^ublished case.*In some cases the patient feels in good health,is strong, cheerful, and in good spirits. * I am indebted to Primarius Dr. F. Kovacs, of Vienna, for kindly handing meOTcr the photographs and history of the ACROMEGALY. 15 But usually with tlie cliange in tlie countenance there isassociated a whole train of disorders. Teiy often a peculiarchanoe of character arises. Capable workmen, enterprisingmerchants, and active women become phlegmatic, vacillat-. FiQ. 3. Woman, 3(5 years old, with pronouT;oed acroaiejaly. (Holrath L. y. Schrotters ward.) ing, languid, sullen, and irritable. Their hands becomeawkward, the legs feeble. Yery often they are tormented byheadache. If the disease developed, the deformity of the body is 16 ACROMEGALY. in a high, degree remarkable. At tlie first glance one seesthe uncouth, and dull features, the coarse and bulky handsand feet. The head sinks in between the shoulders, the backis curved in the upper dorsal region, Fig. 3 shows thewoman Schlesinger demonstrated in 1894 at the Natur-forscher-Versammlung.* Looking more carefully at the head,one is also struck by the changes in the soft parts, as well asin the bones. The shape of the nose, lips, tongue, and lowerjaw is typical. The nose is enlarged in every dimension,and sniibbed, the lips much swollen, especially the underlip, which is very large and prominent. The tongue is muchenlarged, often to such an extent that there is no room forit in the mouth,
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Keywords: ., bookcentury1800, bookdecade1890, bookidcu3192401216, bookyear1899
