e asymmetry was
first observed when the child was three. Mobius and Demme report
similar cases.

Adams reports an unusual case of hemihypertrophy in a boy of ten.
There was nothing noteworthy in the family history, and the patient had
suffered from none of the diseases of childhood. Deformity was
noticeable at birth, but not to such a degree relatively as at a later
period. The increased growth affected the entire right half of the
body, including the face, but was most noticeable in the leg, thigh,
and buttock. Numerous telangiectatic spots were scattered irregularly
over the body, but most thickly on the right side, especially on the
outer surface of the leg. The accompanying illustration represents the
child's appearance at the time of report.

Jacobson reports the history of a female child of three years with
nearly universal giant growth (Riesenwuchs). At first this case was
erroneously diagnosed as acromegaly. The hypertrophy affected the face,
the genitals, the left side of the trunk, and all the limbs.

Milne records a case of hemihypertrophy in a female child of one year.
The only deviation from uniform excess of size of the right side was
shown in the forefinger and thumb, which were of the same size as on
the other hand; and the left side showed no overgrowth in any of its
members except a little enlargement of the second toe. While
hypertrophy of one side is the usual description of such cases, the
author suggests that there may be a condition of defect upon the other
side, and he is inclined to think that in this case the limb, hand, and
foot of the left side seemed rather below the average of the child's
age. In this case, as in others previously reported, there were
numerous telangiectatic spots of congestion scattered irregularly over
the body. Milne also reported later to the Sheffield Medico-Chirurgical
Society an instance of unilateral hypertrophy in a female child of
nineteen months. The right side was involved and the anomaly was
believed to be due to a deficiency of growth of the left side as well
as over-development of the right. There were six teeth on the right
side and one on the left.

Obesity.--The abnormality of the adipose system, causing in consequence
an augmentation of the natural volume of the subject, should be
described with other anomalies of size and stature. Obesity may be
partial, as seen in the mammae or in the abdomen of both women and men,
or it may be general; and it is