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
When the skin is stretched, the fibres which compose the spaces that
have been spoken of, separate from each other, and these spaces become
broader. Their breadth becomes especially evident on the internal
surface of the dermis; for as all the pores of the external surface
pierce obliquely its texture, the distension of this texture only
diminishes the length of the small canal they form, but does not
enlarge the orifice of it; thus whilst the internal surface contains
interstices of considerable size, this remains uniform, but allows us
to see these interstices, which render it more transparent where they
exist; hence that appearance like marble on the skin of the abdomen of
women who have had many children.
When the skin is contracted, the internal spaces are drawn together
and even effaced. The external surface which has none of these, cannot
diminish so much in breadth, so that there is a disproportion in the
breadth of the internal and external surface; hence, as I have said,
the convexity of the latter in the horny hardening produced by boiling
water; hence also the inequalities and external roughness which
takes place when cold acts powerfully upon us, and which contracts
the dermoid texture. Besides, this phenomenon only takes place when
the contractility is evident in the ordinary state; for if there has
been previous distention, the cells already enlarged, return only in
contracting to their natural state, and there is no disproportion in
the extent of the internal and external surfaces of the skin.
In most of the extensions, there is a diminution of the thickness of
the dermoid texture. It is only when it is dilated by the infiltration
of water in its spaces, as in leucophlegmasia, that it increases in
thickness by diminishing in density. In chronic inflammation, in
engorgement, and in various alterations of which the dermoid texture is
the seat, it loses in part the faculty of stretching; it breaks with
ease when it is distended. This is what happens in some aneurisms,
in those of the aorta especially that have produced an absorption of
the sternum. A slow inflammation seizes upon the skin that covers the
tumour, and it breaks with a degree of distention infinitely below what
it bears in a sound state, if the death of the patient does not prevent
this fatal rupture, two examples of which I have seen in the ward of
lying in women at the Hôtel Dieu. In this state of inflammation, the
distention is very painful, whilst it is not so in the ordinary state.
The skin loses also its contractile power in most of the chronic
affections of which it is the seat, and which alter its texture.
Are there some days in which the skin is more contracted, and others
in which it is looser and more expanded? I believe so, from observing
the marks left after small-pox, which are much more apparent and deeper
some days than others.
II. _Vital Properties._
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