Frhlich Syndrome (Dystrophia Adiposogenitalis) 4
General: Caused by chromophobe adenoma of pituitary, Rathke pouch tumors; craniopharyngiomas; suprasellar tumors; encephalitis; trauma; more frequent in Jewish families; manifestations occur in childhood, often during puberty.
Ocular: Bitemporal hemianopsia; impaired scotopic vision; papilledema; optic nerve atrophy (with increased intracranial pressure).
Clinical: Adiposity; genital hypoplasia; in females, menstruation fails to appear or may cease in postpubertal period; in males, voice remains high-pitched, undescended testes, absent facial hair, and feminine pubic line; possible retarded growth; polyuria; polydipsia.
Frohlich A. Ein Fall von Tumor der Hypophysis Cerebri ohne Akromegalie, Wien. Kim Rdsch 1901; 15:883,906.
Landau J, Bromberg YM. Impaired scotopic vision in adiposo-genital dystrophy. Br J Ophthalmol 1955; 38:155.
Miller NR. Walsh and Hoyts Clinical Neuro-Ophthalmology, 4th ed. Baltimore: Williams & Wilkins, 1987.
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