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https://www.decorativecollective.com/dealers/art-of-the-antiqueAn original medical skin disease painting of a woman by W. Toogood Hill.
This is actually a lovely piece of watercolour painting with the colours still clear, really delicate and quite beautiful in many ways.
It was probably the original painting which would then be used to copy into prints to go in medical journals for diagnosing.
Printed on the back is Lechertier, Barbe & Co, Artists' Colourmen, 60 Regent Street, London.