{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T05:54:24Z","timestamp":1741067664763,"version":"3.38.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2010,6,1]],"date-time":"2010-06-01T00:00:00Z","timestamp":1275350400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JRSM Short Reports"],"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p> Two biographies of Admiral Francis Beaufort (1774-1857) have stated that, aged 20-25 years, he suffered from porphyria cutanea tarda (PCT) that was \u2018cured\u2019 following severe blood loss during a naval skirmish. We have examined the evidence concerning the nature of his skin disease. <\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p> Primary records, most notably Beaufort's correspondence with his family, his journals and his father's diaries were sought out and analysed. <\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p> This case report is discussed in the context of 18th-century naval medicine and concepts and treatment of skin disease. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> The description of his lesions, their age of onset, their progression and response to treatment, particularly topical tar and associated features are quite inconsistent with a diagnosis of PCT. His mother, Mary Waller Beaufort (1739-1821), consulted Dr Robert Darwin in 1803 about a painful skin disease affecting her legs. Detailed description of the lesions and a contemporary diagnosis are not available but possible diagnoses include chronic psoriasis and stasis eczema. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> A more tenable diagnosis is that Francis Beaufort had chronic plaque psoriasis remitted by bed rest and convalescence in the sunny Mediterranean climate with cessation of alcohol consumption and improved nutrition as well as topical and oral medications. <\/jats:p><\/jats:sec>","DOI":"10.1258\/shorts.2009.090366","type":"journal-article","created":{"date-parts":[[2010,7,1]],"date-time":"2010-07-01T23:02:39Z","timestamp":1278025359000},"page":"1-9","source":"Crossref","is-referenced-by-count":0,"title":["Re-Evaluation of the Diagnosis of Porphyria Cutanea Tarda in Admiral Sir Francis Beaufort"],"prefix":"10.1177","volume":"1","author":[{"given":"T J","family":"Peters","sequence":"first","affiliation":[{"name":"Institute of Archaeology and Antiquity, University of Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N J","family":"Levell","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Norfolk and Norwich University Hospital, Norwich, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,6,30]]},"reference":[{"volume-title":"Beaufort of the Admiralty. The Life of Sir Francis Beaufort 1774-1857.","year":"1977","author":"Friendly A","key":"bibr1-shorts.2009.090366"},{"volume-title":"Gale Force 10. The Life and Legacy of Admiral Beaufort.","year":"2002","author":"Courtney N","key":"bibr2-shorts.2009.090366"},{"key":"bibr3-shorts.2009.090366","first-page":"1","author":"De Courcy J","year":"1974","journal-title":"Technology Ireland"},{"volume-title":"Euthanasia: or, Medical Treatment in Aid of an Easy Death.","year":"1887","author":"Munk W","key":"bibr4-shorts.2009.090366"},{"volume-title":"The Glorious First of June.","year":"1961","author":"Warner O","key":"bibr5-shorts.2009.090366"},{"key":"bibr6-shorts.2009.090366","unstructured":"Sir Francis Beaufort: Huntington Library, San Marino, California, 1789-1855. 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The Unnatural Experiments of Dr Beddoes and his Sons of Genius.","year":"2009","author":"Jay M","key":"bibr11-shorts.2009.090366"},{"volume-title":"Historic Architecture of the Royal Navy.","year":"1983","author":"Coad J","key":"bibr12-shorts.2009.090366"},{"key":"bibr13-shorts.2009.090366","unstructured":"Beaufort-Edgeworth Papers. National Library of Ireland, Dublin: MS 22820-23446; 1812-1833"},{"key":"bibr14-shorts.2009.090366","unstructured":"Edgeworth Papers. Bodleian Library, Oxford: MS Eng ff.43-65; 1829-33"},{"volume-title":"De Morbis Cutaneis.","year":"1714","author":"Turner D","key":"bibr15-shorts.2009.090366"},{"volume-title":"On Cutaneous Diseases.","year":"1808","author":"Willan R","key":"bibr16-shorts.2009.090366"},{"key":"bibr17-shorts.2009.090366","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-08-092388-8.50010-8"},{"key":"bibr18-shorts.2009.090366","volume-title":"Sequeira's Diseases of the Skin.","author":"Ingram JT","year":"1957","edition":"6"},{"key":"bibr19-shorts.2009.090366","unstructured":"Betton CS. British Oil. An 18th Century Shropshire Manufacture. Shropshire Archives; MS 3756\/148: 1918"},{"key":"bibr20-shorts.2009.090366","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-081X(97)00018-7"},{"key":"bibr21-shorts.2009.090366","doi-asserted-by":"publisher","DOI":"10.2307\/2590390"},{"key":"bibr22-shorts.2009.090366","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.333.7564.380"},{"key":"bibr23-shorts.2009.090366","unstructured":"Lehner FE, Schneider-Yin X, Minder EI. Self-reported psychosocial consequences in Swiss patients with porphyria. Porphyrins and Porphyrias: Berzelius symposium 81, Stockholm, Sweden: 2009: Abstract P29"},{"key":"bibr24-shorts.2009.090366","unstructured":"Corti M. Psoriasis Area Severity Index. 2009. See http:\/\/pasi.corti.li\/"},{"key":"bibr25-shorts.2009.090366","unstructured":"Finlay AY, Khan GK. Dermatology Life Quality Index. 2009. 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