Note 227 — Chapter XIV

Achondroplasia, or imperfect development of cartilage with resulting imperfections in the extremities, has come under my observation. The first case, a man of 38, had a face arrested in development and the appearance of a ten-year-old boy. His jaws were small with a protrusion of the lower. His arms were absent. The hands were full sized and attached to the shoulder. Another case was that of a member of the Spanish nobility in whom degeneracy was stamped on the entire body. He was short in body and had an enormous head. The jaws were undeveloped with a V-shaped arch. His left hand was located near the shoulder.