Anomalies and Curiosities of MedicineGould, George M. (George Milbrey)
Science
Anomalies and Curiosities of Medicine
Gould, George M. (George Milbrey)
Abnormalities, Human; Medicine -- Anecdotes
Congenital defect of the epidermis and true skin is a rarity in
pathology. Pastorello speaks of a child which lived for two and a half
hours whose hands and feet were entirely destitute of epidermis; the
true skin of those parts looked like that of a dead and already
putrefying child. Hanks cites the history of a case of antepartum
desquamation of the skin in a living fetus. Hochstetter describes a
full-term, living male fetus with cutaneous defect on both sides of the
abdomen a little above the umbilicus. The placenta and membranes were
normal, a fact indicating that the defect was not due to amniotic
adhesions; the child had a club-foot on the left side. The mother had a
fall three weeks before labor.
Abnormal Elasticity of the Skin.--In some instances the skin is affixed
so loosely to the underlying tissues and is possessed of so great
elasticity that it can be stretched almost to the same extent as India
rubber. There have been individuals who could take the skin of the
forehead and pull it down over the nose, or raise the skin of the neck
over the mouth. They also occasionally have an associate muscular
development in the subcutaneous tissues similar to the panniculus
adiposus of quadrupeds, giving them preternatural motile power over the
skin. The man recently exhibited under the title of the "Elastic-Skin
Man" was an example of this anomaly. The first of this class of
exhibitionists was seen in Buda-Pesth some years since and possessed
great elasticity in the skin of his whole body; even his nose could be
stretched. Figure 70 represents a photograph of an exhibitionist named
Felix Wehrle, who besides having the power to stretch his skin could
readily bend his fingers backward and forward. The photograph was taken
in January, 1888.
In these congenital cases there is loose attachment of the skin without
hypertrophy, to which the term dermatolysis is restricted by Crocker.
Job van Meekren, the celebrated Dutch physician of the seventeenth
century, states that in 1657 a Spaniard, Georgius Albes, is reported to
have been able to draw the skin of the left pectoral region to the left
ear, or the skin under the face over the chin to the vertex. The skin
over the knee could be extended half a yard, and when it retracted to
its normal position it was not in folds. Seiffert examined a case of
this nature in a young man of nineteen, and, contrary to Kopp's
supposition, found that in some skin from over the left second rib the
elastic fibers were quite normal, but there was transformation of the
connective tissue of the dermis into an unformed tissue like a myxoma,
with total disappearance of the connective-tissue bundles. Laxity of
the skin after distention is often seen in multipara, both in the
breasts and in the abdominal walls, and also from obesity, but in all
such cases the skin falls in folds, and does not have a normal
appearance like that of the true "elastic-skin man."
Public-domain text, read in full here on John Shaqi.
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