Harlequin-type ichthyosis condition are extremely sensitive to changes in temperature due to their hard cracked skin, which prevents normal heat loss. Respiration is also restricted by the skin, which impedes the chest wall from expanding and drawing in enough air. This can lead to hypoventilation and respiratory failure. Patients are often dehydrated, as their plated skin is not well suited to retaining water. The diagnosis of harlequin-type ichthyosis relies on both physical examination and certain laboratory tests. Physical assessment at birth is vital for the initial diagnosis of harlequin ichthyosis. Physical examination reveals characteristic symptoms of the condition especially the abnormalities in
The Body Silent The Body Silent The Body Silent is a personal narrative written by Robert Murphy, a professor at Columbia University. This piece is a narrative of personal struggle through a spinal condition, published in 1987 by Henry Holt and Company, Inc. He uses this narrative to tell his journey through a deteriorating spinal condition leading to paraplegia. He was diagnosed with a tumor extending from his second cervical vertebra to the eighth thoracic vertebra in 1972. Through his narrative he tells his medical history and how the diagnosis of old medicine (late 1920s) knew very little about neurology, and left undetected