REPORT OF CASES FROM THE ENGELBACH CLINIC

Abstract

PITUITARY HIBERNATION Mr. A. F., aged thirty-five, was referred to us by Dr. W. A. Dew, Belleville, 111. The first observation was made in May, 1923, at which time the patient visited The Engelbach Clinic, complaining of the following symptoms: (1) somnolence; (2) insomnia; (3) increase in weight; (4) fatigability; (5) decrease and final total loss of libido and potency; (6) excitability; (7) edema of feet and legs; (8) occasional nycturia; and (9) hyperhidrosis. The duration of these symptoms, with the exception of the increase in weight, which has been gradually progressive for the past twenty years, was one year. At the age of twenty-three the patient weighed 160 lbs., and during the past twelve years he has increased in weight to 255 lbs. His general health had been excellent until an attack of influenza two years ago, since which time he has never fully regained strength. The other symptoms have come on within the last nine months. The somnolence, an outstanding symptom,