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February 1918


Author Affiliations

Attending Physician at the Cook County Hospital, Children's Department; Instructor in Pediatrics, Rush Medical College CHICAGO

Am J Dis Child. 1918;XV(2):132-140. doi:10.1001/archpedi.1918.04110200053003

SYMPTOMS  In sexual precocity of the male we observe as the most striking feature a premature, disproportionate and excessive development of the genitals to the size of those of the full grown man, and also an early development of the secondary sexual characteristics, such as the growth of hairs ad genitalia, ad anum, in the axillae, on the face, and, to a lesser degree, on the remainder of the body, particularly on the extremities; the voice deepens, and in the majority of the cases an increased development of the whole body in length and width with a voluminous musculature (herculean type) and certain psychic features have been noted. This excessive growth, however, is only temporary and the final size of body is not abnormally large, but generally subnormal, since the ossification of the epiphyseal cartilages often occurs prematurely. Thus we observe somatically the ordinary signs of puberty, but at an

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