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Clinical and historical aspects of the Elephant Man: Exploring the facts and the myths.
[proteus syndrome]
Joseph
Merrick
,
the
Elephant
Man
,
presented
to
the
Royal
London
Hospital
in
1884
with
an
obscure
condition
that
puzzled
his
contemporaries
,
and
fascinates
clinicians
to
this
day
.
Throughout
the
1900
s
,
a
number
of
theories
were
advanced
to
explain
the
numerous
growths
that
covered
his
body
:
neurofibromatosis
,
Proteus
syndrome
,
and
a
combination
of
childhood
injury
,
fibrous
dysplasia
,
and
pyarthrosis
.
The
debate
continued
throughout
the
20
th
century
without
resolution
.
Today
,
new
consensus
on
the
genetic
and
clinical
diagnosis
of
neurofibromatosis
and
Proteus
syndrome
has
allowed
advancements
in
the
Elephant
Man
's
diagnosis
.
Using
recent
clinical
diagnostic
criteria
it
is
now
possible
to
conclude
that
Joseph
Merrick
was
in
all
likelihood
suffering
from
Proteus
syndrome
.
Nevertheless
,
details
of
his
genotype
remain
unknown
.
Obtaining
intact
DNA
from
the
Elephant
Man
's
skeleton
is
challenging
,
yet
it
is
possible
that
sequencing
Merrick
's
genome
could
provide
genetic
confirmation
of
his
clinical
diagnosis
,
and
shed
light
on
the
process
of
tumourigenesis
.
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Validation
Diseases presenting
"recent clinical diagnostic criteria"
symptom
proteus syndrome
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