very thin especially from disease or hunger or cold;
"emaciated bony hands"
"a nightmare population of gaunt men and skeletal boys"
"eyes were haggard and cavernous"
"small pinched faces"
"kept life in his wasted frame only by grim concentration"
not having enough money to pay for necessities
as if squeezed uncomfortably tight;
"her pinched toes in her pointed shoes were killing her"