Noticing recently an account in The Journal of a case of cretinism, from Fairfield, Iowa, and the fact that mention was made of the number of cases reported in this state, I thought perhaps the presentation of a far more advanced case might be of interest.
History.
—April 4 of this year, a child was brought to my office by the mother, the gross appearance of which was that of a baby 18 months to 2 years old, with the exception of the head, which was enormously enlarged. The actual age was 8 years and 6 months, and its weight, twenty-seven pounds. The expression was one of imbecility and repulsive beyond measure; the eyebrows overhung; the lips were puffed out; the tongue protruded from an inch to an inch and a half; there was continuous drooling from the mouth; the anterior fontanel was widely open; hair very scant, harsh and