Chest clinic Thorax: first published as 10.1136/thoraxjnl-2015-208236 on 22 February 2016. Downloaded from IMAGES IN THORAX Pectus excavatum in paintings by Jusepe de Ribera (1591–1652) Davide Lazzeri,1 Fabio Nicoli1,2 1Department of Plastic The intensity of realism pursued by Caravaggio in emaciated frames completes the dramatically realis- Reconstructive and Aesthetic contrast with Mannerism was amplified by his fol- tic portraits. Surgery, Villa Salaria Clinic, “ ” Rome, Italy lowers ( Caravaggisti ); these included the Spanish The reasons for such depictions could be mul- 2Department of Plastic and painter, Jusepe de Ribera, with his tenebristic style tiple and are worthy of discussion. It seems unlikely Reconstructive Surgery, as classified by the early biographers.1 Indeed, de that the first medical description of pectus excava- University of Rome ‘Tor Ribera mastered the Caraveggesque chiaroscuro and tum and its physiological consequences provided ’ Vergata , Rome, Italy gained widespread popularity as a result of his life- by Schenck and Bauhin at the end of the 16th fl ’ Correspondence to like naturalism, becoming the most in uential century, a few decades before de Ribera s depic- 2 Dr Davide Lazzeri, Plastic Spanish Baroque painter. He depicted dramatic and tions, exerted a great deal of influence. De Ribera Reconstructive and Aesthetic sinister scenes of tortured saints with faces con- was a skilled draftsman and printmaker, leaving Surgery, Villa Salaria Clinic, via torted in pain, mutilated and ageing bodies hundreds of drawings; therefore, because of his Filippo Antonio Gualterio, 127, adorned with sagging flesh, gruesome martyrdoms high reputation, it seems unrealistic that the artists Rome 00139, Italy; 1
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