Treatment of Obesity, Part 2

Anomalies and Curiosities of Medicine
by George M. Gould, M.D., Walter L. Pyle, M.D.

(Page 20 of 32)

Fournier quotes an instance of a woman in Paris who at twenty-four, the time of her death, weighed 486 pounds. Not being able to mount any conveyance or carriage in the city, she walked from place to place, finding difficulty not in progression, but in keeping her equilibrium. Roger Byrne, who lived in Rosenalis, Queen's County, Ireland, died of excessive fatness at the age of fifty-four, weighing 52 stone. Percy and Laurent speak of a young German of twenty who weighed 450 pounds. At birth he weighed 13 pounds, at six months 42, and at four years 150 pounds. He was 5 feet 5 inches tall and the same in circumference. William Campbell, the landlord of the Duke of Wellington in Newcastle-on-Tyne, was 6 feet 4 inches tall and weighed 728 pounds. He measured 96 inches around the shoulders, 85 inches around the waist, and 35 inches around the calf. He was born at Glasgow in 1856, and was not quite twenty-two when last measured. To illustrate the rate of augmentation, he weighed 4 stone at nine months and at ten years 18 stone. He was one of a family of seven children. His appetite was not more than the average, and he was moderate as regards the use of liquors, but a great smoker Notwithstanding his corpulency, he was intelligent and affable.

Miss Conley, a member of an American traveling circus, who weighed 479 pounds, was smothered in bed by rolling over on her face; she was unable to turn on her back without assistance.

There was a girl who died at Plaisance near Paris in 1890 who weighed 470 pounds or more. In 1889 an impresario undertook to exhibit her; but eight men could not move her from her room, and as she could not pass through the door the idea was abandoned.

There was a colored woman who died near Baltimore who weighed 850 pounds, exceeding the great Daniel Lambert by 120 pounds. The journal reporting this case quotes the Medical Record as saying that there was a man in North Carolina, who was born in 1798, who was 7 feet 8 inches tall and weighed over 1000 pounds, probably the largest man that ever lived. Hutchison says that he Saw in the Infirmary at Kensington, under Porter's care, a remarkable example of obesity. The woman was only just able to walk about and presented a close resemblance to Daniel Lambert. Obesity forced her to leave her occupation. The accumulation of fat on the abdomen, back, and thighs was enormous.

According to a recent number of La Liberte, a young woman of Pennsylvania, although only sixteen years old, weighs 450 pounds. Her waist measures 61 inches in circumference and her neck 22 inches. The same paper says that on one of the quays of Paris may be seen a wine-shop keeper with whom this Pennsylvania girl could not compare. It is said that this curiosity of the Notre-Dame quarter uses three large chairs while sitting behind her specially constructed bar. There is another Paris report of a man living in Switzerland who weighs more than 40 stone (560 pounds) and eats five times as much as an ordinary person. When traveling he finds the greatest difficulty in entering an ordinary railway carriage, and as a rule contents himself in the luggage van. Figure 171 represents an extremely fat woman with a well-developed beard. To end this list of obese individuals, we mention an old gentleman living in San Francisco who, having previously been thin, gained 14 pounds in his seventieth year and 14 pounds each of seven succeeding years.

Simulation of Obesity. General dropsy, elephantiasis, lipomata, myxedema, and various other affections in which there is a hypertrophic change of the connective tissues may be mistaken for general obesity; on the other hand, a fatty, pendulous abdomen may simulate the appearances of pregnancy or even of ovarian cyst.

Dercum of Philadelphia has described a variety of obesity which he has called "adiposis dolorosa," in which there is an enormous growth of fat, sometimes limited, sometimes spread all over the body, this condition differing from that of general lipomatosis in its rarity, in the mental symptoms, in the headache, and the generally painful condition complained of. In some of the cases examined by Dercum he found that the thyroid was indurated and infiltrated by calcareous deposits. The disease is not myxedema because there is no peculiar physiognomy, no spade-like hands nor infiltrated skin, no alteration of the speech, etc. Dercum considers it a connective- tissue dystrophy - a fatty metamorphosis of various stages, possibly a neuritis. The first of Dercum's cases was a widow of Irish birth, who died both alcoholic and syphilitic. When forty-eight or forty-nine her arms began to enlarge. In June, 1887, the enlargement affected the shoulders ,arms, back, and sides of the chest. The parts affected were elastic, and there was no pitting. In some places the fat was lobulated, in others it appeared as though filled with bundles of worms. The skin was not thickened and the muscles were not involved. In the right arm there was unendurable pain to the touch, and this was present in a lesser degree in the left arm. Cutaneous sensibility was lessened. On June 13th a chill was followed by herpes over the left arm and chest, and later on the back and on the front of the chest. The temperature was normal. The second case was a married Englishwoman of sixty-four. The enlarged tissue was very unevenly distributed, and sensibility was the same as in the previous case. At the woman's death she weighed 300 pounds, and the fat over the abdomen was three inches thick. The third case was a German woman in whom were seen soft, fat-like masses in various situations over either biceps, over the outer and posterior aspect of either arm, and two large masses over the belly; there was excessive prominence of the mons veneris. At the autopsy the heart weighed 8 1/2 ounces, and the fat below the umbilicus was seven inches thick.

Abnormal Leanness. In contrast to the fat men are the so-called "living skeletons," or men who have attained notice by reason of absence of the normal adipose tissue. The semimythical poet Philotus was so thin that it was said that he fastened lead on his shoes to prevent his being blown away, - a condition the opposite of that of Dionysius of Heraclea, who, after choking to death from his fat, could hardly be moved to his grave.

In March, 1754, there died in Glamorganshire of mere old age and gradual decay a little Welshman, Hopkin Hopkins, aged seventeen years. He had been recently exhibited in London as a natural curiosity; he had never weighed over 17 pounds, and for the last three years of his life never more than 12 pounds. His parents still had six children left, all of whom were normal and healthy except a girl of twelve, who only weighed 18 pounds and bore marks of old age.

There was a "living skeleton" brought to England in 1825 by the name of Claude Seurat. He was born in 1798 and was in his twenty-seventh year. He usually ate in the course of a day a penny roll and drank a small quantity of wine. His skeleton was plainly visible, over which the skin was stretched tightly. The distance from the chest to the spine was less than 3 inches, and internally this distance was less. The pulsations of the heart were plainly visible. He was in good health and slept well. His voice was very weak and shrill. The circumference of this man's biceps was only 4 inches. The artist Cruikshank has made several drawings of Seurat.

Calvin Edson was another living skeleton. In 1813 he was in the army at the battle of Plattsburg, and had lain down in the cold and become benumbed. At this time he weighed 125 pounds and was twenty-five years old. In 1830 he weighed but 60 pounds, though 5 feet 4 inches tall. He was in perfect health and could chop a cord of wood without fatigue; he was the father of four children.

Salter speaks of a man in 1873 who was thirty-two years of age and only weighed 49 pounds. He was 4 feet 6 inches tall: his forehead measured in circumference 20 1/2 inches and his chest 27 inches. His genitals, both internal and external, were defectively developed. Figure 175 represents the well-known Ohio "living skeleton," J. W. Coffey, who has been exhibited all over the Continent. His good health and appetite were proverbial among his acquaintances.

In some instances the so-called "living skeletons" are merely cases of extreme muscular atrophy. As a prominent example of this class the exhibitionist, Rosa Lee Plemons at the age of eighteen weighed only 27 pounds. Figure 177 shows another case of extraordinary atrophic condition of all the tissues of the body associated with nondevelopment. These persons are always sickly and exhibit all the symptoms of progressive muscular atrophy, and cannot therefore be classed with the true examples of thinness, in which the health is but slightly affected or possibly perfect health is enjoyed.