of general obesity that we shall
chiefly deal. Lipomata, being distinctly pathologic formations, will be
left for another chapter.

The cases of obesity in infancy and childhood are of considerable
interest, and we sometimes see cases that have been termed examples of
"congenital corpulency." Figure 167 represents a baby of thirteen
months that weighed 75 pounds. Figure 168 shows another example of
infantile obesity, known as "Baby Chambers." Elliotson describes a
female infant not a year old which weighed 60 pounds. There is an
instance on record of a girl of four who weighed 256 pounds Tulpius
mentions a girl of five who weighed 150 pounds and had the strength of
a man. He says that the acquisition of fat did not commence until some
time after birth. Ebstein reports an instance given to him by Fisher
of Moscow of a child in Pomerania who at the age of six weighed 137
pounds and was 46 inches tall; her girth was 46 inches and the
circumference of her head was 24 inches. She was the offspring of
ordinary-sized parents, and lived in narrow and sometimes needy
circumstances. The child was intelligent and had an animated expression
of countenance.

Bartholinus mentions a girl of eleven who weighed over 200 pounds.
There is an instance recorded of a young girl in Russia who weighed
nearly 200 pounds when but twelve. Wulf, quoted by Ebstein, describes a
child which died at birth weighing 295 ounces. It was well proportioned
and looked like a child three months old, except that it had an
enormous development of fatty tissue. The parents were not excessively
large, and the mother stated that she had had children before of the
same proportions. Grisolles mentions a child who was so fat at twelve
months that there was constant danger of suffocation; but, marvelous to
relate, it lost all its obesity when two and a half, and later was
remarkable for its slender figure. Figure 169 shows a girl born in
Carbon County, Pa., who weighed 201 pounds when nine years old.
McNaughton describes Susanna Tripp, who at six years of age weighed 203
pounds and was 3 feet 6 inches tall and measured 4 feet 2 inches around
the waist. Her younger sister, Deborah, weighed 119 pounds; neither of
the two weighed over 7 pounds at birth and both began to grow at the
fourth month. On October, 1788, there died at an inn in the city of
York the surprising "Worcestershire Girl" at the age of five. She had
an exceedingly beautiful face and was quite activ