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VOL. 108. NO . MAY t 9Y7 Table I. Microsatellite Instability in Neurofibromas of Two Related NF-l Patients " Markers T1 T2 T3 T4 D2S123 + 0 9S 1 26 + + + 0 9S1 96 + + D9S 2 87 + 09S176 + + D9S 12 7 + a Thre e ncurofibromBs oC th e father (T I. T2. T3) and onc of the daughter (T4) were anal y z e d at 23 1l1i cros<1 cclli tc loci. Alt ered microsatcllitc l1l;lrkc rs are shown. sugg es ts that thi s ge netic ev ent may be characte ri sti c of tbe late stages of tumor d eve lo pm e nt . On th e oth er hand , the incre as ed susceptibility to env ironm ental fa cto r s, pro bably involve d in ne u- rofi broma tumOli ge nesis, ma y al so ex plain di fie rences be tw ee n individuals . M ultipl e ge nes responsible for several ge node rma toses ha ve be en re ce ntl y mapp ed on c hromo some 9 (Pe ri cak-Van ce ef ai , 1995 ). Ou r findin g o f multipl e alte rations on c hr om oso me 9 indicat es that "mo difying ge n es" (Easton et ai, 1993), unlinked to th e NF -1 l oc us an d lo cated in the r egions we analyzed, might ha ve a role it) the pa th oge nesis of ne ur ofibro ma s in NF-l pa ti e nt s. F urth er inves ti ga- LETTERS TO THE EDITOR 813 tions on a lar ge r numb er of NF-l p atie nt s are n ee ded to claJ. i fy the p rec is e role of chr om oso me 9 in th e d eve lo pm ent of th ese tumors. Malia Co n ce tt a Fargnoli, Sergio C himenti, Ke tty Pe li s Dep artment of Derm ato l ogy Unive rsity of L' Aq uila, L' Aquila, It al y REFEREN CES Easton DF, Poder MA . Hu son SM, Po nder HAJ: An allalysis ofv;lriauon in expression of ncufo fibro m:tcosis (N F) rype 1. (NF l ): ev idence fo r mod ifying gcnes . .4 111 J HUIII Cmet 53:305- 313, t 993 Honchel R . Halling KC, Pittelkow M. Schaid OJ, T hi bod eau SN: Microsatelli rc in Muir-Torre syndro me. Gnll re,. Res 5 -1: l t 59 -1 '163 . J 99-t H Oll c hc1 It. Halling KC. Thi bodeau SN : Genomic insti1bility in I1 co plasin. Scmill Cel l Bioi 6:45-52. 1995 Ottini L. Espo siro D L, R.ichel ta A. Cn rl cs il1l o M. P" llll. iro tra R. Veri MC. Bat ti sfa P. f rad L. Caramia fG. Calvic ri S, C,lma A, Mariani-Costantini It: Alte rn tions of microsatclli ces in neurof tb ro m as of VOlI R cc kJin g<1 usc ll 's disease. C all c e,. Res 55:5677- 5680. 1995 Pericak-Vance MA . Bale AE, Haine s JL, Kwiarkowski D.I . Pil z A, Slau gc nhaupt S, W hite j A. Edwa rds jH. Marchuk O. Olopa de 0 1. At t wood .l , Povey S: R. eport on the fourth workshop a ll chromosomc 9. A IIII H I/III Gelll'l 59:3 -1- 7- 36 5, 1995 Pcris K. Ke ll er G, Chimcnti S. Am <l Il R',a A, Kcd H. Ho Acr H: Microsarellire insrabilitv <1n d loss of h e re ro zygos ity in m cl: 1110Il1a . J I t/ ll est De "' '' (ff o! 105:625- 628. 1995 . Qu inll AG . Healy E. R e hll H lIl 1. ikkink S. ,R c cs J L: Mi c ro sare iJ ire instabi li ty in hU l11:1 n nOIl -lllcl:lnom3 and mcianolll ll skill can ce r. J I I/ ll esr De/'/lIl1( ol 104 :3 09 - 312. 19 95 B lack Skin and the Ideal of Beauty To th e Editor : Oh laplI'illg East! T o Sa ba hell ce [ selin rh ee ... (Hn.fi z, - 1325-1 389) Blac k skin h as unjustifiably b ee n e qu aled with n egati ve values of the b e arer sin ce at least th e time of Anc ient Rom e two t hou sand ye ars ago (Habe rmehl 1992 ). Prove rbi al and indisc riminat e use of b lack as a synonym for bad, malicious, re pu g nant , wa s perpetuated. The id eal of beauty, female be aut y at th at, was pale or whit e thr ou gho ut th e Old W orld fr om the coast o fIr eland to th e Sea of Japan (Holuba r and Schmidt , 1994 ). Christian m ythology, r oo ted in cl assica.l Roman fundam ental s, carried these traditions int o prese nt day. Libera tion moveme nt s in the seco nd half of this ce ntu ry led to the slogan black is beollriji" , co ined to b oos t the self confid ence and pride of more h eav il y pigme nt ed clines (Ho lub ar an d Schmidt , 1 994 ) of man . W hat sho uld be prove n in the fo ll o win g is th at black did not necess arily constitute a der og ative de si gnation in ea rl.i er time s, but rather ser ve d to depi ct an exception from the pale-c ompl exioned peo pl es in va ri ous Old World soc ie ti es over th e ce nturies. The ar g ume nt sha ll be exemplified with the aid of a black beauty of the Hi gh Middl e Ages, the Qu ee n o f Sh eba of Biblical fame, a desce nd ant of Ku sh and Ham, who is pr es um ed to ha ve be en black. She is a well kn o wn fi g ur e in J ewish, Christi an, and Islamic lore and has b ee n depicted time and again. Accordin g to the Bible (1 Kings X:1-13 and 2 C hronicl es IX: 1-1 2) the qu ee n vis it ed So l0 111 0n to prese nt him with ri ches and to qu estion him . Accor ding to K orani c tradi tion (Sura XXVII), So lomon se nt a bird to de li ver a let ter and to s ummon her to Jerusale m. T hi s bird , in H e br ew, is called dukhipat ("!),:,,.,,) ; in Arabic, hudhud (.10\.10\) ; in Engli sh, h oo p oe ; in Bi bli ca l tradition (Lev iticus X I:1 9) it is an unclean bird, but one t hat guar d s treas ur es and carries the shamir (He br e w, th e wo ndr ous wor m that split the stones fo r the Te mpl e because iro n to ols we re fo rbidd en. One of the m ost elabor ate a nd co mpr ehensi ve illustr ations of the Story of Salva ti on is the romanes qu e enamel alt er of Nicho las of Ve rdun , France, flllished before A.D. 11 81 in the monast er y o f KJ oste rn e ubur g in the suburb s of Vie nn a and p reserve d on si te since (Rohrig, 1 994 ). In this altar the Q uee n of Sheba is beautifully depicted with a bl ac k face a nd black hand s (Fig 1). She is elegantly positioned be t wee n King So lomon sitting on his t hron e and one of her servants kneeli ng before the monarc h-she is a cla ss ical ideal of female beauty, at the sa me t im e a la ce echo of the beauties of antiqui ty and a harbin ge r o f the got hic mad on n as soon to fo ll o w . In li g ht- co mpl exio ned soc ieties. th e ideals of male and fe male bea uty usuall y were whit e. E ur ope. Nea r and Middl e East, C hin a, and Japan may be viewe d as the histo ri cal habitat of li ght- co mpl exioned peo ple s. Literary so ur ces in cl udin g holy scr iptu res. pr ove rb s, and miniatur es illu str ate tllis point. King Da vid, a re dh ead in Biblical tradition and a ce ntr al fIg ur e of the Old Testame nt . se rv es as a goo d exa mpl e (I Samu el XV I:12; r ead in g in H e br ew. hu adm oni, 'l'1) . The m ost fa mous C hin es e p oet es s. Li C hin g C ha o * mlltl (1 084 -1 1. 51), wr ote ren silk gall ze so shcer II' ), //I hir e skill sllill es throllg h. (Wa tson. 1 984) . (ph o- ne ti c all y tr anslatin g in to: ji ang xi ao lou b ao bin g jI ying). The Japanese pr ove rb has it th at ' !' ili ff skill //l akes li p for sell ell def e cts f!:.) 8 -(1\ tMiliA , Oa pan ese ph one tica ll y tr an l at es in to iroll o shiro ill '" sc/,irhillall kn kIlSll ). Histo ri ca ll y. b ot h Ch ine se and Jap an ese see th e ms elves as lI ,hir e, c au casians of E ur opean an ce s- tr y as troll sill rellf. This is a ve ry goo d obser vat ion ind ee d if one lo oks at th e sk in of ph oto type I person s, in whom blu e ve ins. red capillaries, a nd ye ll ow el astos is shin e t hr oug h. Wo men are less str ongly pigmented because in many soci et ies wo men are more likely to stay ind oo rs and are less ex p ose d to enviro nm ental ultra violet lig ht. The ab ove Jap anese pr ov e rb uses shiro, B . ,!'Ilir e, pronolln ce d " ai in C hin ese. as a char acte r. T he C h i- n ese ve rse is less trivial, lltilizing the character, )lillg, shill )' .
Transcript

VOL. 108. NO . MAY t 9Y7

Table I. Microsatellite Instability in Neurofibromas of Two Related NF-l Patients"

Markers T1 T2 T3 T4

D2S 123 + 0 9S126 + + + 0 9S196 + + D9S287 + 09S176 + + D9S127 +

a Three ncurofibro mBs oC the father (T I. T2. T3) and onc of the daughter (T4) were anal yz e d at 23 1l1icros<1 cclli tc lo ci. Altered micro satc llitc l1l;lrkcrs are shown.

sugg ests that this genetic event m ay be characteristic o f tbe late stages of tumor development. On the other hand , the in creased susceptibility to environmental factors, probably involved in neu­rofibroma tumOligenesis, may also explain di fie rences between individuals .

M ultiple genes responsible for several genodermatoses have been recently mapped on chromosome 9 (Pericak-Vance ef ai , 1995 ). Our findin g o f multiple alterations on chrom osome 9 indi cates that "m o difying genes" (Easton et ai, 1993) , unlinked to the NF-1 locus and located in th e regions we analyzed, might ha ve a role it) the pathogenesis of neuro fibromas in NF-l patients. Further investiga-

LETTERS T O T HE ED ITOR 813

tions on a larger number of N F-l p atients are needed to claJ.i fy the precise role o f chrom osome 9 in the developmen t of these tumors .

Mali a Concetta Fargnoli , Sergio C himen ti, Ke tty Pelis D epartm ent of Dermatology

University of L' Aquila, L' Aquila, Italy

REFERE N CES

Easton DF, Poder MA . Huson SM , Ponder HAJ: An alla lys is ofv;lriauon in express io n of ncufo fibro m:tcosis (N F) rype 1. (NF l ): evidence fo r m od ifying gcnes . .4 111 J HUIII Cmet 53:305- 313, t 993

Honchel R . Halling KC , Pittelkow M. Schaid OJ, T hibodeau SN : Microsa telli rc in s t ~lbiljry in M uir-Torre syndrome . Gnllre,. Res 5-1: l t 59 -1 '163 . J 99-t

HOllchc1 It . H all ing KC . Thi bodeau SN : Geno mic insti1bility in I1coplasin. Scmill Cel l Bioi 6:45-52. 1995

Ottini L. Esposiro D L, R.iche lta A. Cnrlcsil1lo M. P"llll.iro tra R. Veri M C. Battisfa P. f rad L. Caramia fG. Calvicri S, C,lma A, Mariani-Co stantini It: Alte rntions o f microsatclli ces in neuroftbro mas of VOlI R cckJin g<1 uscll 's disease. C allce,. Res 55:5677- 5680. 1995

Pericak- Vance MA . Bale AE, Haines JL, Kwiarko w ski D.I . Pil z A, Slaugcnhaupt S, W hite j A. Edwards jH. Marchu k O. Olopade 0 1. Attwood .l , Povey S: R.epo rt o n the fo urth w o rksho p a ll chro mo so m c 9 . A IIII H I/III G elll'l 59:3 -1- 7- 36 5, 1995

Pcris K. Ke ll er G, Chimcnti S. A m <l Il R',a A , Kcd H . Ho Acr H: Microsare llire insrabilitv <1n d loss of herero zygosity in m cl:1110Il1a . J I t/ llest De"''' (ffo! 105:625- 628. 1995 .

Qu inll AG . Healy E. R ehll HlIl 1. ikkink S. ,R ccs JL: Micro sare iJ ire instabi li ty in hU l11:1 n nOIl - lllc l:lno m 3 and mc iano lllll skill cancer. J I I/ llesr D e/'/lIl1(ol 104 :3 09 - 3 12. 1995

Black Skin and the Ideal of Beauty To th e Editor:

Oh laplI'illg East! T o Saba hellce [ selin rhee ... (Hn.fiz , - 1325-1 389)

Black skin has unjustifiabl y been equaled with negati ve values o f the b e arer since at least the time of Ancient Rome two thousand year s ago (Habermehl 1992) . Pro verbial and indiscriminate use o f black as a synonym for bad, malicious, repugnant, was perpetuated . The ideal of beau ty, female beauty at that, was pale or white throug hout th e Old W orld from the coast ofIreland to the Sea of Japan (Holuba r and Schmidt, 1994) . C hristian mythology, rooted in classica.l R om an fundamentals, carried these tradi tions into present day. Liberation m o vements in the second hal f of this century led to the slogan black is beollriji" , coined to boos t the self confidence and pride of m ore heavily pigm ented clines (Holubar and Schmidt, 1994) of man .

W hat should be proven in the fo llowing is that black did no t necessarily constitute a derogative designation in ea rl.i e r times, but rath e r served to depict an exception from the pale-compl exioned peoples in various Old World societies over the centuries.

T h e argument shall be exemplifi ed with the aid of a black beau ty of the High Middle Ages, the Queen o f Sheba o f Biblical fam e, a descendant of Kush and H am , w ho is presumed to ha ve been bla ck. She is a well known fi gure in J ewish, C hristian , and Islamic lore and has b een dep icted time and again . Accordin g to the Bible (1 Kings X:1-13 and 2 C hronicl es IX:1-1 2) the queen visited Sol01110n to present him with riches and to ques tion him . Accordin g to K orani c tradi tion (Sura XXVII) , Solomon sent a bird to deliver a letter and to summon her to J erusalem. T his bird, in H ebrew, is called dukhipat ("!),:,,.,,) ; in Arabic, hudhud (.10\.10\) ; in Engli sh , hoopoe; in Biblical tradition (Leviticus X I:1 9) it is an unclean bird, but one that guard s treasures and carries the shamir (Hebrew, "~IlJ) , the

wondro us worm tha t split the stones fo r the Temple because iron tools were forbidden .

O ne of the most elaborate and comprehensive illustratio ns of the S tory o f Salva tion is the rom anesque enam el alter of N icholas of Verdun , France, fllli shed before A.D. 11 81 in the m onastery o f KJ osterneuburg in the suburbs of Vienna and preserved on site since (Rohrig, 1994) . In this altar the Q ueen of Sheba is bea uti full y depicted with a black face and black hands (Fig 1). She is elegantly positio ned between King Solom on sitting on his throne and one of her servan ts kneeling before the m onarch-she is a class ical ideal of femal e bea uty, at th e sam e time a la ce echo of the beau ties of antiqui ty and a harbinger o f the gothi c m adonnas soon to fo llow .

In light-compl exioned societies . the ideals of m ale and fem ale bea uty usually w ere white. Europe . Near and Middle East, Chin a, and Japan may be viewed as the historical habitat of light­complexioned peoples. Li terary so urces in cl uding holy scriptures. prove rbs, and miniatures illustrate tlli s poin t . King David , a redhead in Bibli cal tradition and a central fIgure of the O ld Testam ent. se rv es as a good example (I Samue l XVI:12; readin g in H ebre w . hu admo ni , ')'~'I'( 'l'1) . T he m ost fa m ou s C hines e p oetes s. Li C hin g C ha o * mlltl (1084 - 1 1. 51), wro te ren silk gall ze so shcer II' ),

//Ihire skill sllill es throllgh. (Wa tso n . 1984) . iitJllj. llJ~JIIl.§ . (pho­ne ti call y translatin g in to: jiang xiao lo u bao bin g j I ying) . T he J apanese prove rb h as it th at '!'ili ff skill //l akes lip for sellell def ects f!:.) 8 -(1\ tMiliA , Oapanese pho netica lly tran lates in to irollo shiro ill'" sc/,irhillall kn kIlSll ). H isto ri ca ll y. both C h inese and Japanese see th emse lves as lI ,hire, cau casians o f Europea n ances­try as trollsillrellf. T hi s is a very goo d observatio n indee d if o ne loo ks at th e skin o f p hoto type I perso ns, in w h om blu e vein s. red capill aries, and ye ll o w elastos is shin e thro ugh. Wo m en are less stro ngly pi gm e n ted because in m any societies wo m en are m o re likely to stay indoors and are less exposed to en viro nm en ta l ultra vio le t lig ht. T he above Jap anese proverb uses shiro, B . ,!'Ilire, pro no lln ce d "ai in C hin ese. as a ch aracte r. T he C h i­nese ve rse is les s tri vial , lltili zin g the chara cter , )lillg, ~ shill )' .

814 LETTERS TO THE EDITOI1..

Figure 1. Depiction of the Q ucen of Sheba, King Solomon and two servants. (Enamel altar of Nicholas ofVerdlln, before A.D. 1181 , Monastery of K.!osrcrnllcburg. Austria)

tm llsl llCCIII , w hich incorporates the character )'11, jade, .3i, to indi cate th e lu stro us quality of pale skill .

Over the 2- l/2 'Tullennia of which we have a w ritten tradition

1'\-1£ JOURNAL OF INVESTIGATIVE DERMATOLOGY

of Western and Eastern societies. persons of dark complex. ion always constituted exceptions from the rule, and the fact of darker skin in a par ticu lar individual merited special mention . Sappho, the great poetess of abo ut 600 B.C., was dark. IltKpa KU\. !-If,,utvu, sIIIall alld black she is ca lled by Ma ximus of Tyrus. Ovid ha s he r say, calldida si 110 11 SII III , (bi/C 'I'iJifc [ all' IIof) (Wissowa el ai, 1968) . Sunburn is co nsid. ered cosmetica ll y undesirable, both in the Song of Song 1:6, don'f look of !li e, I all' (allll ed, readin g in Hebrew, al limlti

sllconi sl, cNilnrkllOrcf, n,n,n'tl t)N'tI tlN,n ~N and in the play Dyskolos by Menandros (34211-29110 B.C.) w here Knemon says, H e is sIIIIburned, is I, e n [anil e,.? (act IV, verse 754) , I J , :. •

Em KEK(llycal !-lEV. "(£WP)'OC; EOU j W hat can be concluded from tlus literary exclu'sion? Black as a

color is as neutra l in its value as is w hite or any other. Ideals of beauty are white in w hite societies, black in black ones. Due to media domination (script, printing, libraries, etc.) by pale-complex. ioned peopl es as much as by the spread of religions, C hristianity primarily, prevailing white views became conunon-place. C ircuu,. stances fac ili tated such a stance; because night is dark and to sense fear in the dark night is easier than in bright daylight, to compare dark to frightening is not unnatural. It is immoral though, if such epithets are applied to fellow man . T his notwithstanding, black historica lly was not synonymous with ugly; on the contrary, it could , in wlute societies as well as dark ones, be a f., cec of beauty and attra ction (fi'ol11 th e Queen of Sheba to J osephine Baker. Whitney Houston and Naomi Campbell), of admiration (Grace Bumbry or Leontyne Price) , or of veneration (the b lack madonna of J aSl1a Gora, Saintes-Maries-de-l a-Mer (Sara) , and elsewhere) .

Karl Holubar Departments of the History of Medicin e and of Dermatology

University of Viett113 Vienna, Austria

REFERENCES

Habermeh l P: Pr11JC~tII{f II//d til'l' A.t: )/pt,;r cJflt'l' Dild",. elt.'s Do'se" j Ill Iriilu.'11 (!{iiknuisdre71 C hristt'lIIll11l. Eill Vcr.welt Z"f Passio S(lI1((t, r"llI P CI'I'( '!II(JC cl FelicirnriJ. Tr.wc altd U UI/:rSll r llftll,l.!t'II . Akadcll1 ic Vcrln g, lJcrlil1 , 1992. lld. -)40, pp. 145- 160

H o lubi.1 r K. Schn'lidt C: 5 11" flIUJ Skill , Ostc rrcichischc ArZlCkal1mlc r. Vit:tll1u. 1990l Rohrig F: DcI' f/crclufH:r Allar, M.lycr & Comp .• ViCIlIl ;I. 1994 Watson D: Till' Cc)/Jl lllbin Book (?(ChilU:sc Poctr),. Colulll bia Un ivers ity Press. New York

1984. p. 369 W issow;1 G ff al (cds.); (o rigi nal cdiLOr. cf :11): P(tf{l r ts I?.eaieflrydopncllk 1I1'r J,..·/nssi:uhrn

Il llcr /ufIl.fUlisst'IIJcJltljtCl1 t Dnu:kcnmfl ll cr, Sturrg.,rt. 196H, suppt vol X l, column 1227


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