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 epidermis is not only reproduced when the whole of it has been
removed, but also when the superficial layers alone have been taken
away, especially on the foot and the hand on which other layers arise
upon those which the cutting has laid bare; which proves that they are
not, as has been said, the juices of the reticular body which form it
by drying.
IV. _Development._
Those who have thought that the epidermis is formed by pressure, would
be convinced that this is not the case if they would examine that of
the fœtus, which is very distinct, more even in proportion than many
other systems. We observe it when the skin begins to leave the pulpy
state of which we have spoken. At the end of the fifth month, it has
proportions analogous to those which it will afterwards exhibit. It is
very thick on the soles of the feet and the palms of the hands, and
very thin elsewhere; it is easily detached by all the means we have
pointed out. We know that in a fœtus that has died and become putrid
in the womb, it is found in great measure detached. At the place of the
umbilical cord, it is continued in an insensible manner with the skin.
At birth, though it is in contact with a fluid that is new to it, it
does not undergo a great alteration; which proves that the air has
little or no agency in its formation. It becomes thicker as we advance
in age, and follows, in this respect, nearly the same proportions as
the skin. Beyond the twenty-sixth or thirtieth year it increases no
more. I have often raised up in many places the epidermis of an old
person; it has not appeared to me to differ much from that of the
adult; it is a little more subject to scale off and it is a little
thicker. In some miserable objects which come to hospitals, there is
often vermin in cracks of the epidermis, whose layers are afterwards
separated by them and in which they live; so that I have seen the
epidermis in this way conceal thousands of little animals, which were
evidently found between the layers of this membrane, and which were not
upon the reticular body and the papillæ. It is the only means that has
shown to me the lamellated structure of the epidermis, in any other
place than on the foot and the hand, in which I have never seen vermin.
The cracks of the epidermis in old age appear to arise from its dryness
owing to the want of exhalation; it is that which renders the skin so
rough and harsh. What contributes to it also is, that as it has many
inequalities on account of its numerous folds, frictions being more
felt in these prominent places, make the epidermis scale off; thus in
the adult the same cause renders it scaly on a tubercular skin, whilst
a skin that is smooth and well distended with fat, undergoes every kind
of friction without desquamation.
ARTICLE SECOND.
INTERNAL EPIDERMIS.
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