THE REMARKABLE LIFE OF THE SKIN

A leading expert in dermatology surveys the body’s largest organ, “a beautiful mystery, cloaked in feelings, opinions and questions.”

Although it is a conduit to our exquisite sense of touch and the ability to convey emotion (among a bevy of other useful and life-sustaining functions), the skin is often overlooked. “Skin is the Swiss Army knife of the organs,” writes Lyman, a doctor and a recipient of the 2017 Wilfred Thesiger Travel Writing Award, “possessing a variety of functions unmatched by any other, from survival to social communication.” To research this intimate story, the author journeyed across the globe and through history. More than just a collection of interesting case studies and fun facts—though it is that, too—this book spans a range of fields in basic science and social science in its depiction of the skin’s many roles. Drawing on his extensive clinical experience, Lyman explains the critical functions of the skin as a barrier and protector, a host for the microbiome, and a signaler of disease. He also broaches subjects as diverse as psoriasis, aging, race, and tattoos in his nuanced exploration of the profound interconnectedness of skin and self. These discussions of the mind-body connection are some of the most insightful elements of the narrative. Looking ahead, Lyman describes some of the skin’s potential for life-altering therapies as researchers manipulate stem cells and genes to treat injury and disease with more effectiveness than ever before. Throughout this wide-ranging narrative, the author’s writing is clear and not overly technical, and he excels in relating even the most esoteric subjects to a shared human experience. The 17-page glossary at the end is particularly helpful for readers not well versed in biology and other sciences.

Illuminating and thought-provoking, this book elicits a new awareness of and appreciation for the skin.