http://a-quantum.livejournal.com/ ([identity profile] a-quantum.livejournal.com) wrote in [personal profile] burrru 2008-07-06 12:19 am (UTC)

Из статьи, которую я уже цитировал в твоем предыдущем посте (там и про мозг, и про почку, и про колено, и про многое другое, но, видимо, длинные тексты по-английски всем читать лень :)),
J R Soc Med 2002;95:514-515, doi:10.1258/jrsm.95.10.514
Michelangelo and medicine
Roland M Strauss MRCP DTM&H Helena Marzo-Ortega MRCP

A digression from the theme of medicine in Michelangelo's art concerns the artist's own knee, which according to Espinel15 is depicted in a fresco by Raphael. The painting in the Vatican, commissioned by Pope Julius II at a time when Michelangelo was on site completing the ceiling of the Sistine Chapel, shows an individual with an enlarged and deformed right knee. The figure is in contemporary clothes and not, like others in the picture, in more classical dress. The lumps on the knee are interpreted as gouty tophi, in accordance with the artist's purported diagnosis. However, the notion that this person must be Michelangelo was soon refuted16.

Соответствующие ссылки:
15. Espinel CH. Michelangelo's gout in a fresco by Raphael. Lancet1999; 354:2149-51
16. Kuehn W. Michelangelo's gouty knee. Lancet2000; 355:1104

Вот цитата из статьи Куна:

In his article on Raphael's fresco School of Athens (Dec 18/25, p 2149)1 Carlos Espinel tries to convince us that the figure in the foreground is Michelangelo and that the “knee, as portrayed by Raphael, is an early pictorial description of gout”. Whether the figure is Heraclitus or Michelangelo, the gout argument deserves further discussion. The “lesions” are at the upper aspect of the patella, distal lateral femur, and proximal tibia. I doubt that they are tophi. Raphael (and Michelangelo) were among the first to show “Mannerist” elements in their work. These include exaggerated anatomical details and can be seen in Michelangelo's The Last Judgement in the Sistine chapel (Ignudi from The Separation of Light from Darkness),2 and in The Fire in the Borgo, painted 3 years after The School of Athens (see the arm of Aeneas' father Anchises).2 Espinel claims that the knee of nearby Diogenes is normal, but higher magnifications reveal lumps very similar to those in “Michelangelo's” knee, albeit smaller because the figure is seated and further away.2

Gout is well known to affect the knee, most commonly during episodes of acute gouty arthritis. Tophi of the knee are rare and are usually absent in saturnine gout.3 Furthermore, tophaceous gout is very uncommon without previous attacks, and then mostly in women with predominant or exclusive finger involvement.4 Since acute attacks are very painful we can assume that Michelangelo would have mentioned them in his letters, as he did later on with his urinary symptoms.

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