He was rail thin with a tanned and leathery face.

The other half were rail thin, and I would guess they didn't want to become fat, so none of them ordered any ice cream either.

Without her thick and fabulous animal, my grandmother was rail thin.

She was late forties, rail thin, and drained of color.

She was rail thin and I would have put her age closer to fifty than twenty.

Kitty Petras was rail thin with a pinched face and large brown eyes.

Mr. Rubin is rail thin and always in a banker's suit.

He was tall, rail thin and red of face.

He went further, gripping the light with one hand, the thin rail with the other, stopped and listened.

A tiny woman, rail thin and entirely bald, walked down the large staircase.