Identifier: annalsofsurgery17philuoft (find matches)
Title: Annals of surgery
Year: 1885 (1880s)
Authors:
Subjects: Surgery
Publisher: Philadelphia Lippincott
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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r in appearance.During childhood he had measles and scarlet fever, but since then hehas enjoyed perfect health. As a young man he was short, stout andvery muscular, and could do any amount of hard work. He wasalways of a cheerful disposition and was never depressed. No historyof syphilis, tuberculosis or rheumatism. Twenty-five years ago hewas struck on top of the head by an iron bolt and received a scalpwound, but the injury was not sufficient to lay him up. As to thetime when his face, hands and feet commenced to enlarge, there isno definite history. All that he remembers is that above twentyyears ago his friends called his attention to the size of his hands.Three years ago his left eye was injured so seriously as to require itsremoval. Up to four years ago he was able to do regular laboringwork, but since then he has worked only at intervals. The appear-of the fai i- and hands, as seen in the photographs, arc charac-teristic of the disease. The face is oval and elongated, the supra
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Fig. i.— I >r. Murrays case of Acromegal) Present condition. A CASE OF ACROMEGAL Y. 701 orbital ridges very prominent, the malar bones, the nose, the earsand the lower jaw are enormously hypertrophied. The large mouth,the thick lips and the deep chin are very noticeable. The lower jawprojects greatly in advance of the upper, and most of the teeth arelost. The skin of the face is rather pale, but the mucous membraneis of normal color. The tongue is greatl) hypertrophied, and on itsdorsum are many deep furrows. The hands are broad and thi< k andpresent the spade-like appearance. The fingers are short, thick and sausage -shaped, the nails flat, broad, with brittle edges and withwell-marked longitudinal striations. The wrists are enlarged, and thelower ends of the radius and ulna are considerably hypertrophied.The feet are uniformly enlarged, and one notices the prominent heel,the size of the great toe and the thickness of the soft parts on theouter side of the foot. The bones of

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