Adam Rainer (1899-1950) is the only person in history to have been both a dwarf and a giant. At age 21, he was 3'10''. Then, likely as a result of a pituitary tumor, he had a dramatic growth spurt so that he grew to 7'8''. He became weakened by this doubling of his height and was bedridden the last 20 years of his life.
This girl is dead. This is a Victorian death photo. "If you look closely you can see a base behind the girls feet and a post would go up from that with clamps at the waist and neck and the clothing would be open at the back. The arms would have stiff wires running at the back to hold them in place. Also notice the strange placement of the hands. The pupils are painted on the closed eyelids."