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Article
March 1934

LIPOIDS AND LIPOID DISEASES: II. XANTHOMATOSIS (SCHÜLLER-CHRISTIAN'S TYPE)

Author Affiliations

ANN ARBOR, MICH.

From the Department of Pediatrics and Infectious Diseases, University of Michigan.

Arch Intern Med (Chic). 1934;53(3):379-390. doi:10.1001/archinte.1934.00160090056005
Abstract

The clinical syndrome known variously as Schüller-Christian's disease, Christian's syndrome, xanthomatosis of the skeletal type and dysostosis hypophysaria and also described as "defects in membranous bones, exophthalmos and diabetes insipidus" was first described by Hand1 in 1893. Hand presented the case of a 3 year old boy with exophthalmos and polyuria in whom autopsy revealed a soft, movable yellow spot about the size of a five cent piece, involving the entire thickness of the skull in the right parietal region. In 1916, Schüller2 reported two cases, one in a boy of 16 with dystrophia adiposogenitalis, exophthalmos and marked cranial defects and the other in a girl of 4 years with polyuria, exophthalmos and defects of the skull. Schüller felt that both cases were examples of skeletal defects secondary to disease of the hypophysis. Christian,3 in 1919, reported a case of defects in the membranous bones, exophthalmos and

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