General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
The whole dermis is penetrated with a large quantity of this texture.
It is arranged in the following way; from the exterior of the
sub-cutaneous cellular layer, an infinite number of elongations is
detached which penetrate the contiguous spaces of the chorion, enter
afterwards into those which are more exterior, and finally terminate
in the numerous pores which transmit outwards the vessels, the nerves
and the hairs, which have previously passed through this cellular
texture. We can then consider the chorion as a kind of sponge, the
spaces of which represent the interstices, and which the cellular
texture penetrates on all sides; so that if it was possible to separate
by dissection, these spaces from the cellular texture, and the
organs which are in it, there would be a kind of sieve pierced in all
directions. Art cannot arrive at it but with difficulty on account of
the delicacy of the parts; but that which is not done by dissection,
nature often effects. In biles I have observed that all that which
fills the interstices of the dermoid fibres disappears by suppuration,
and that these fibres, separated besides by the swelling of the parts,
exhibit truly the appearance of a sieve of which I have just spoken,
when the fluid that moistens them is removed. The bile differs in
fact from many other cutaneous eruptions, in this that it attacks the
cellular texture of the spaces of the chorion, whilst they have their
seat, as I have said, in the reticular body. I do not know any acute
affection which attacks the chorion itself; all have their seat either
on its surface, or in the cellular texture of its cells. Its dense
and compact texture seems, like that of the aponeuroses, not able to
be changed until a length of time. In elephantiasis I have seen this
texture evidently disorganized.
M. Thillaye showed me portions of skin taken from a cemetery, in which
every thing that filled the dermoid spaces had disappeared, and in
which these spaces and their dried fibres formed a real membranous
sponge through which the light could everywhere be seen. In this case
the reverse of what is seen in long continued macerations had taken
place, in which the fatty cellular texture, changed into a solid, white
substance, preserves, as I have said, the form of the spaces which
it filled, whilst the dermoid fibres reduced to the pulpy state, are
easily removed. In the first case it is the mould only which is left;
in the second it is the substance which is contained in it.
In chronic leucophlegmasia, the sub-cutaneous serum gradually extends
along the cellular elongations of the spaces of the dermis, separates
their fibres, consequently enlarges these spaces, and sometimes
penetrates even to the epidermis, which it breaks in different places,
and through the crevices of which it escapes. In this case, there is
not resolution of the skin into cellular texture, as it is called, but
a separation of the dermoid fibres, which always remain.
Public-domain text, read in full here on John Shaqi.
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