The case here presented is the fourth of sporadic cretinism brought to my attention in this part of Iowa. Such a number found in a limited territory inclines me to the belief that the condition is much more frequent in the United States than is commonly supposed.
—P. Z., male, aged 18 months, was sent to me by Dr. C. S. Bishop of Glasgow, Iowa.
—This boy was the fourth child, of German parents who are first cousins. All other children of the family are normal. The baby weighed ten pounds at birth (Oct. 26, 1904), fourteen pounds when two months old, and sixteen pounds when eight months of age. There was obstinate constipation from the second month, and when nine months old the baby became deeply jaundiced and remained so for several months. An umbilical hernia developed at the same age. From the age of 9 months