1894 Brewer’s / E / Elf-marked
Those born with a natural defect, according to the ancient Scottish superstition, are marked by the elves for mischief. Queen Margaret called Richard III.—
“Thou elfish-marked, abortive, rooting hog!”—
Shakespeare: Richard III., i. 3.
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Entry taken from Dictionary of Phrase and Fable, edited by the Rev. E. Cobham Brewer, LL.D. and revised in 1895.