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REPORT OF A CASE WITH POSTMORTEM OBSERVATIONS AND A REVIEW OF THE LITERATURE

SOLOMON SILVER, M.D.

Arch Intern Med. 1933;51(2):175-199.

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Simmonds' disease may be defined as a clinical state, most common in women, characterized by progressive, extreme emaciation, premature aging, wrinkling of the facial skin, loss of pubic and axillary hair, dental caries and loss of libido and sexual function, accompanied by a depression of the basal metabolic rate. Untreated, it is a progressively fatal disease, usually terminating suddenly with a short period of coma. There are often mental disturbances closely simulating Korsakoff's syndrome, so that the patients are sometimes first seen by the psychiatrist. The pathologic basis for the condition is varied. In general, it may be said that any process that destroys the anterior lobe of the pituitary gland may give rise to the clinical picture. A "splanchnomicria," an abnormal smallness of the viscera, is the only constant postmortem observation aside from changes in the pituitary body. This was first pointed out by Simmonds.¹

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Author Affiliations
NEW YORK

From the Medical Service, Mount Sinai Hospital.

Footnotes
The case to be reported was observed in 1929, and the manuscript was prepared 1930. Publication was unavoidably delayed until this time.

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