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Am J Dis Child. 1913;V(1):18-24. doi:10.1001/archpedi.1913.04100250021002.
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History.  —The subject of this report, R. B., was admitted to the Infants' Ward of Bellevue Hospital, Nov. 1, 1911, five hours after birth. She was said to have been born at full term, and was delivered without difficulty by a midwife. As to the family history, there had been three other children, all of whom were dead, one at ten months and the other two, which were twins, at 2 months. No miscarriages nor stillbirths. There is no history of any similar deformities in the family and there are no dwarfs in the family connection; also no history of tuberculosis, syphilis nor any other constitutional disease.

Physical Examination.  —Well nourished infant, the general appearance of the trunk resembling a seal. The skin is very cyanotic and the most striking feature about the face is the marked exophthalmos. The nose is short and saddle-shaped, with a deep depression at its


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