A Letter to a Friend

Last updated
A Letter to a Friend
AuthorSir Thomas Browne
Country Kingdom of England
Subject Medicine
Publication date
1690
826
LC Class PR3327

A Letter to a Friend (written 1656; published posthumously in 1690), by Sir Thomas Browne, the 17th century philosopher and physician, is a medical treatise of case-histories and witty speculations upon the human condition.

Contents

Morgellons

It is believed to be the source of a term Mary Leitao found in 2001 to describe her son's skin condition. She chose the name "Morgellons disease" from a skin condition described by Browne in Letter to a Friend, [1] thus:

Hairs which have most amused me have not been in the Face or Head, but on the Back, and not in Men but Children, as I long ago observed in that endemial Distemper33 of little Children in Languedock, called the Morgellons, wherein they critically break out with harsh Hairs on their Backs, which takes off the Unquiet Symptomes of the Disease, and delivers them from Coughs and Convulsions34. [2]

There is, however, no suggestion that the symptoms described by Browne are linked to the alleged modern cases of Morgellons.[ citation needed ]

In 1935, Charles Ernest Kellett MD FRCP (1903-1978), who lectured in the history of medicine at the University of Newcastle medical school, [3] wrote a detailed criticism of Browne's Morgellons reference. [4]

Related Research Articles

Porphyria Group of inherited metabolic disorders

Porphyria is a group of liver disorders in which substances called porphyrins build up in the body, negatively affecting the skin or nervous system. The types that affect the nervous system are also known as acute porphyria, as symptoms are rapid in onset and short in duration. Symptoms of an attack include abdominal pain, chest pain, vomiting, confusion, constipation, fever, high blood pressure, and high heart rate. The attacks usually last for days to weeks. Complications may include paralysis, low blood sodium levels, and seizures. Attacks may be triggered by alcohol, smoking, hormonal changes, fasting, stress, or certain medications. If the skin is affected, blisters or itching may occur with sunlight exposure.

Ehlers–Danlos syndromes Group of genetic connective tissues disorders

Ehlers–Danlos syndromes are a group of rare genetic connective tissue disorders. Symptoms may include loose joints, joint pain, stretchy velvety skin, and abnormal scar formation. These can be noticed at birth or in early childhood. Complications may include aortic dissection, joint dislocations, scoliosis, chronic pain, or early osteoarthritis.

Alopecia areata Condition in which hair is lost from some or all areas of the body

Alopecia areata, also known as spot baldness, is a condition in which hair is lost from some or all areas of the body. Often it results in a few bald spots on the scalp, each about the size of a coin. The disease may cause psychological stress. People are generally otherwise healthy. In a few cases, all the hair on the scalp or all body hair is lost and loss can be permanent.

Delusional parasitosis (DP) is a mental disorder in which individuals have a persistent belief that they are infested with living or nonliving pathogens such as parasites, insects, or bugs, when no such infestation is present. They usually report tactile hallucinations known as formication, a sensation resembling insects crawling on or under the skin. Morgellons is considered to be a self-diagnosed subtype of this condition, in which individuals have sores that they believe contain harmful fibers.

Addisons disease Endocrine disorder

Addison's disease, also known as primary adrenal insufficiency and hypocortisolism, is a rare long-term endocrine disorder characterized by inadequate production of the steroid hormones cortisol and aldosterone by the two outer layers of the cells of the adrenal gland. Symptoms generally come on slowly and may include abdominal pain and gastrointestinal abnormalities, weakness, and weight loss. Darkening of the skin in certain areas may also occur. Under certain circumstances, an adrenal crisis may occur with low blood pressure, vomiting, lower back pain, and loss of consciousness. Mood changes may also occur. Rapid onset of symptoms indicates acute adrenal failure which is a serious and emergent condition. An adrenal crisis can be triggered by stress, such as from an injury, surgery, or infection.

Pilonidal disease Hair-containing cyst or sinus, occurring chiefly in the coccygeal region

Pilonidal disease is a type of skin infection which typically occurs as a cyst between the cheeks of the buttocks and often at the upper end. Symptoms may include pain, swelling, and redness. There may also be drainage of fluid, but rarely a fever.

Chilblains Medical condition

Chilblains, also known as pernio and chill burns, are a medical condition in which damage occurs to capillary beds in the skin, most often in the hands or feet, when blood perfuses into the nearby tissue resulting in redness, itching, inflammation, and possibly blisters. It occurs most frequently when predisposed individuals, predominantly women, are exposed to cold and humidity. Ulcerated chilblains are referred to as kibes. Temperature-related chilblains can be prevented by keeping the feet and hands warm in cold weather and avoiding exposing these areas to extreme temperature changes. Once the diagnosis of chilblains is made, first-line treatment includes avoiding cold, damp environments and wearing gloves and warm socks.

Medical sign Objective indication of a medical fact or characteristic

A medical sign is an objective indication of a disease, injury, or abnormal physiological state that may be detected during the physical examination of a patient. These signs can be detectable by anyone, e.g. the temperature or blood pressure of the patient, skin that is redder than usual, or a bruise; others may have no meaning to the patient or may even go completely unnoticed. Medical signs assist a healthcare provider to reach an accurate diagnosis.

Lamellar ichthyosis

Lamellar ichthyosis, also known as ichthyosis lamellaris and nonbullous congenital ichthyosis, is a rare inherited skin disorder, affecting around 1 in 600,000 people.

Pagets disease of the breast

Paget's disease of the breast is a type of cancer that outwardly may have the appearance of eczema, with skin changes involving the nipple of the breast. The condition is an uncommon disease accounting for 1 to 4.3% of all breast cancers and was first described by Sir James Paget in 1874.

Keratosis pilaris Skin condition characterized by small bumps caused by overproduction of keratin.

Keratosis pilaris (KP) is a common, autosomal dominant, genetic condition of the skin's hair follicles characterized by the appearance of possibly itchy, small, gooseflesh-like bumps, with varying degrees of reddening or inflammation. It most often appears on the outer sides of the upper arms, thighs, face, back, and buttocks; KP can also occur on the hands, and tops of legs, sides, or any body part except glabrous (hairless) skin. Often the lesions can appear on the face, which may be mistaken for acne.

Hyperandrogenism

Hyperandrogenism is a medical condition characterized by high levels of androgens in females. Symptoms may include acne, seborrhea, hair loss on the scalp, increased body or facial hair, and infrequent or absent menstruation. Complications may include high blood cholesterol.

Formication is the sensation that resembles that of small insects crawling on the skin when there is nothing there. It is one specific form of a set of sensations known as paresthesias, which also include the more common prickling, tingling sensation known as "pins and needles". Formication is a well documented symptom, which has numerous possible causes. The word is derived from formica, the Latin word for ant.

A maculopapular rash is a type of rash characterized by a flat, red area on the skin that is covered with small confluent bumps. It may only appear red in lighter-skinned people. The term "maculopapular" is a compound: macules are small, flat discolored spots on the surface of the skin; and papules are small, raised bumps. It is also described as erythematous, or red.

Health of Charles Darwin

For much of his adult life, Charles Darwin's health was repeatedly compromised by an uncommon combination of symptoms, leaving him severely debilitated for long periods of time. However, in some ways this may have helped his work, and Charles Darwin wrote "Even ill-health, though it has annihilated several years of my life, has saved me from the distractions of society and amusement."

Vulvitis is inflammation of the vulva, the external female mammalian genitalia that include the labia majora, labia minora, clitoris, and introitus. It may co-occur as vulvovaginitis with vaginitis, inflammation of the vagina, and may have infectious or non-infectious causes. The warm and moist conditions of the vulva make it easily affected. Vulvitis is prone to occur in any female especially those who have certain sensitivities, infections, allergies, or diseases that make them likely to have vulvitis. Postmenopausal women and prepubescent girls are more prone to be affected by it, as compared to women in their menstruation period. It is so because they have low estrogen levels which makes their vulvar tissue thin and dry. Women having diabetes are also prone to be affected by vulvitis due to the high sugar content in their cells, increasing their vulnerability. Vulvitis is not a disease, it is just an inflammation caused by an infection, allergy or injury. Vulvitis may also be symptom of any sexually transmitted disease or a fungal infection.

SCARF syndrome

SCARF syndrome is a rare syndrome characterized by skeletal abnormalities, cutis laxa, craniostenosis, ambiguous genitalia, psychomotor retardation, and facial abnormalities. These characteristics are what make up the acronym SCARF. It shares some features with Lenz-Majewski hyperostotic dwarfism. It is a very rare disease with an incidence rate of approximately one in a million newborns. It has been clinically described in two males who were maternal cousins, as well as a 3-month old female. Babies affected by this syndrome tend to have very loose skin, giving them an elderly facial appearance. Possible complications include dyspnea, abdominal hernia, heart disorders, joint disorders, and dislocations of multiple joints. It is believed that this disease's inheritance is X-linked recessive.

Hair tourniquet

Hair tourniquet is a condition where hair or thread becomes tightly wrapped around most commonly a toe, and occasionally a finger, genitals, or other body parts. This results in pain and swelling of the affected part. Complications can include tissue death due to lack of blood flow. It occurs most commonly among children around 4 months of age, though cases have been described in older children and adults.

Morgellons is the informal name of a self-diagnosed, scientifically unsubstantiated skin condition in which individuals have sores that they believe contain fibrous material. Morgellons is not well understood, but the general medical consensus is that it is a form of delusional parasitosis. The sores are typically the result of compulsive scratching, and the fibers, when analysed, are consistently found to have originated from clothings and other textiles.

References

  1. "The Major Works of Sir Thomas Browne", edited and with an Introduction by C. A. Partides. Penguin 1977
  2. "Sir Thomas Browne's A Letter to a Friend". penelope.uchicago.edu. Retrieved 2019-04-21.
  3. "OBITUARY". British Medical Journal. 2 (6146): 1234–1235. 28 October 1978. PMC   1608351 .
  4. "The Morgellons". penelope.uchicago.edu. Retrieved 2019-04-21.