File:Acromegaly Dulles B&A.jpg

height, five feet seven and a half inches ; weight, about 160 pounds; has a good family and personal history, having lost two brothers in infancy and having five now living and healthy, and both parents living. Six years ago he was in this country, doing business in Chicago. As the accompanying photograph (Fig. 1), taken at that time, shows, he was then a well-formed and healthy young man. After this he went to Constantinople to carry on the Oriental part of a business that consisted in buying rugs, etc., and send- ing them to this country to be sold. Owing to involvement in the affairs of those for whom he acted, he was accused of violating the laws of the Ottoman Empire, and on March 4, 1890, was cast into a Turkish prison, where he remained for about eighteen months—until August 27, 1891. On leaving the prison he had no business, and was under a cloud of distrust and depression until he left Turkey to come to America, where he arrived fifteen days before I saw him. While he was in prison his hands and feet began to enlarge, so that every- body said that he was getting fat, and his shoes (sandals) became too small for him. About six months ago, he says, he began to be oppressed with drowsiness, especially after meals, when he could hardly speak, but had to lie down and take a nap. For about three months he has had profuse sweats. The periods are not quite trustworthy because the patient does not seem to