Cretinism among the Chinese apparently is not common. Annual reports from 14 hospitals in China, giving diagnoses of 33,000 in-patients, do not record a case of this disease. The cretin here reported was a Chinese boy of 17 years who was sent to the Peking Union Medical College Hospital by Dr. Bryan-Brown of the British Legation. There was no family history of goiter. He looked like a child of four or five years. He could not walk without support and could answer only simple questions. His temper was uncertain. When displeased he squealed like a pig. He weighed 46 pounds and was 39 inches in height. His head was disproportionately large, eyes wide apart, mouth open, lips thick, skin dry, and abdomen protruding. He had no axillary or pubic hair and the genitalia were infantile. There was persistent flexion of the wrists and fingers, in a position characteristic of tetany.
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