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We found one dictionary with English definitions that includes the word skinny as a rail:
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General (1 matching dictionary)

1. skinny as_a_rail: Wiktionary [home, info]

Quick definitions from Wiktionary (skinny as a rail) ▸ adjective:  (simile, colloquial) Especially of a person, very skinny. ▸ Words similar to skinny as a rail ▸ Usage examples for skinny as a rail ▸ Idioms related to skinny as a rail (New!) ▸ Popular nouns described by skinny as a rail ▸ Words that often appear near skinny as a rail ▸ Rhymes of skinny as a rail ▸ Invented words related to skinny as a rail