History of Latin American Dermatology

History of Latin American Dermatology History of Latin American Dermatology

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CÉSAR IVÁN VARELA HERNÁNDEZFigure 22. NelsonGiraldoGalindo arrived in Cali; a dermatopathologist trained in Argentina, he launched thechair at the St. John of God Hospital; his legacy and human conditions were incomparable.Antonio José Torres Muñoz trained at his side, also carrying out furtherstudies in Buenos Aires. In 1967 there arrived Nelson Giraldo Restrepo (Figure 22),who trained alongside Prof. Abulafia in Buenos Aires; together with Dr. Torres hefounded the chair at the University del Valle in the 1970s 21 . In Bogotá, in 1963, LuisAlfredo Rueda Plata, who had studied dermatopathology with professors Degos andCivatte in France, launched his important universal contribution, particularly on thestudy of the papova virus 15, 20 . In 1975, Alonso Cortés Cortés created the “GustavoUribe Escobar” dermatopathology lab at the University of Antioquia, headed by WalterLeón Hernández, a noted dermatopathologist and excellent teacher. The pathologistAníbal Mesa Cock also stood out through his contributions. In Bogotá, in the1970s and 80s, Fernando García Jiménez, Head of the Dermatology Service a theNational University, gave it a significant dermatopathological approach; from the NationalInstitute of Health, the pathologist Gerzaín Rodríguez Toro launched an extremelyimportant collaboration that continues to the present time. Towards 1989, with the entryof Luis Fernando Palma, the subfield acquired even greater rigorousness at that Schoolwith precise observations, under a strict criterion, which were added to this specialist’snoble humanistic conditions and interest in teaching. At the end of the 1980s FelipeJaramillo Ayerbe returned to Manizales from New York University, becoming a pillar inthe coffee-growing region. In the 1990s, other dermatopathologists arrived in diversecities to expand the subfield: Mabel Yaneth Ávila Camacho in Bucaramanga and RicardoAugusto Rueda Plata in Cali; the latter described the polymorphous and eosinophilic rashassociated with radiotherapy 21, 32 . On June 22, 1996,in Bogotá, Antonio Barrera, Patricia DeCastro, FelipeJaramillo, Leonor Molina, Luis Fernando Palma,Gerzaín Rodríguez, Luis Alfredo Rueda and RicardoRueda founded the Colombian Chapter of Dermatopathologyand chose Antonio Barrera Arenales asfirst president (Figure 23).Figure 23.Antonio BarreraFigure 24.GuillermoGutiérrezHISTORY OF ONCOLOGICAL DERMATOLOGYAs of 1934, patients with skin cancer were treated atthe National Radium Institute in Bogotá; but it was in1978 that Guillermo Gutiérrez Aldana (Figure 24), fromthe National University of Bogotá, who also brought hisknowledge to the National Cancerology Institute, designedthe oncodermatological clinical record and started the oncodermatologicy practiceand teaching, which were consolidated under his guiding rules in 1992 with thecreation of graduate studies in oncological Dermatology, which he asked Michel FaizalGeagea to design and which was continued by Álvaro Acosta de Hart. In the 1990s, ClaudiaMarcela Covelli Mora and Carmen Helena de la Hoz Ulloa began offering specializedtreatment at the University del Valle in Cali. Several colleagues who trained abroad andcompleted graduate studies at the National Cancerology Institute have taken the subfieldto diverse cities around the country.HISTORY OF PEDIATRIC DERMATOLOGYCOLLABORATOR: Antonio Barrera ArenalesIn the 1970s and 80s, pediatric Dermatology took its first steps, in line with the buddingand increasing world interest in going deeper into the study of child Dermatology,with eager dermatologists undertaking the teaching. Standouts among them are: in Bogotá,128

History of Dermatology in ColombiaMariano López and Manuel Forero at the Pediatric Hospital of Mercy, Enrique SuárezPeláez and Jaime Soto Mancipe at the Colsubsidy Children’s Hospital, and Antonio BarreraArenales at the Lorencita Villegas de Santos Children’s University Hospital. InMedellín, Evelyne Halpert Ziskiend (Figure 25), a dermatologist of the University of Antioquiaand Colombia’s first children’s dermatologist, a graduate of the National Instituteof Pediatrics in Mexico in 1981, who created the service at the St. Vincent de Paul UniversityHospital, later headed by Amparo Ochoa, Martha Sierra and Gabriel Ceballos. InCali, Guillermo González Rodríguez, Rafael Isaza Zapata and Jairo Victoria Chaparro,and in Manizales, Josefina Danies at the Children’s Hospital. In Cali, International Seminarson Pediatric Dermatology were launched; the first in 1989 was coordinated byGuillermo González and Rafael Isaza.In 1992, at the close of the Nineteenth Colombian Congress of Dermatology in San Andrés,under the presidency of Flavio Gómez Vargas, a symposium was held on “TheTeaching of Dermatology in Colombia,” during which Antonio Barrera said, “The unexpectedscope and complexity of Dermatology, the diversity of pathological circumstances,are reasons that compel us to consider the urgent priority of increasing, expanding anddeepening study and research in this specialized field in its diverse areas, without promotinga useless fragmentation and without proposing anything new... The convenienceof creating and promoting subspecialized programs and services in some of the fields ofDermatology are tasks for a near future [as are] considerations on pediatric Dermatology,dermatopathology, dermatological surgery, oncological Dermatology, among others...as subspecialized programs with the possibility of being carried out at some of thecountry’s schools of Dermatology.”In 1992, in Bogotá, Antonio Barrera, Josefina Danies, Manuel Forero, GuillermoGonzález, Evelyne Halpert, Mariano López, Amparo Ochoa, Enrique Suárez Peláez,Jaime Soto and Jairo Victoria founded the Association of Pediatric Dermatology, choosingDr. Suárez as its first president and Dr. Barrera as secretary. The subfield continuesto grow and expand in the diverse services with the arrival of new specialists.Figure 25. EvelyneHalpertHISTORY OF CRYOSURGERYCOLLABORATOR: Carlos Horacio González RojasGilberto Castro Ron, President of the American College of Cryosurgery, started acryosurgery course for dermatologists at the Luis Razetti Institute of Oncology in Caracas,which Carlos Horacio González Rojas and Sergio Cáceres Orozco participated in1988, launching modern cryosurgery in Colombia. Dr. González founded the CryosurgeryUnit in the city of Armenia, dedicated to the teaching and practice of the technique, treatingindigent patients for free. The dermatologists Luis Hernando Moreno, Ángela SeidelArango, Rafael Isaza and Danilo Álvarez Villegas, and the maxillofacial surgeon CarlosEnrique Mora, studied under his guidance. Later they would be joined by the dermatologistsMaría Bernarda Gáfaro Barrera, Yamil Alberto Duque Ossman, Joaquín EliécerBerrio Muñoz and Gema Esther Revelo Hernández and the dentists Diego Arango andJulio César Torres. The team later brought in colleagues from other cities, like FabioLondoño, Juan Pedro Velásquez, Gustavo Acevedo Merino and María Mélida Durán, andreceived the cooperation of Gerzaín Rodríguez for the reading of biopsies. On December3, 1991, in Guadalajara, Mexico, during the CILAD Congress, the Ibero-American Associationof Cryosurgery was founded at the initiative of six dermatologists (Figure 26); Dr.Castro Ron was elected president, being succeeded by Dr. González, who at the secondmeeting of the Association in Cartagena (1999) (in which 270 national dermatologistsand 70 from abroad took part in) managed to give the technique a greater boost. Manyother outstanding colleagues have contributed to the history of the subfield, like VirginiaPalacios Bernal and Luis Fernando Balcázar Romero.129

<strong>History</strong> <strong>of</strong> <strong>Dermatology</strong> in ColombiaMariano López and Manuel Forero at the Pediatric Hospital <strong>of</strong> Mercy, Enrique SuárezPeláez and Jaime Soto Mancipe at the Colsubsidy Children’s Hospital, and Antonio BarreraArenales at the Lorencita Villegas de Santos Children’s University Hospital. InMedellín, Evelyne Halpert Ziskiend (Figure 25), a dermatologist <strong>of</strong> the University <strong>of</strong> Antioquiaand Colombia’s first children’s dermatologist, a graduate <strong>of</strong> the National Institute<strong>of</strong> Pediatrics in Mexico in 1981, who created the service at the St. Vincent de Paul UniversityHospital, later headed by Amparo Ochoa, Martha Sierra and Gabriel Ceballos. InCali, Guillermo González Rodríguez, Rafael Isaza Zapata and Jairo Victoria Chaparro,and in Manizales, Josefina Danies at the Children’s Hospital. In Cali, International Seminarson Pediatric <strong>Dermatology</strong> were launched; the first in 1989 was coordinated byGuillermo González and Rafael Isaza.In 1992, at the close <strong>of</strong> the Nineteenth Colombian Congress <strong>of</strong> <strong>Dermatology</strong> in San Andrés,under the presidency <strong>of</strong> Flavio Gómez Vargas, a symposium was held on “TheTeaching <strong>of</strong> <strong>Dermatology</strong> in Colombia,” during which Antonio Barrera said, “The unexpectedscope and complexity <strong>of</strong> <strong>Dermatology</strong>, the diversity <strong>of</strong> pathological circumstances,are reasons that compel us to consider the urgent priority <strong>of</strong> increasing, expanding anddeepening study and research in this specialized field in its diverse areas, without promotinga useless fragmentation and without proposing anything new... The convenience<strong>of</strong> creating and promoting subspecialized programs and services in some <strong>of</strong> the fields <strong>of</strong><strong>Dermatology</strong> are tasks for a near future [as are] considerations on pediatric <strong>Dermatology</strong>,dermatopathology, dermatological surgery, oncological <strong>Dermatology</strong>, among others...as subspecialized programs with the possibility <strong>of</strong> being carried out at some <strong>of</strong> thecountry’s schools <strong>of</strong> <strong>Dermatology</strong>.”In 1992, in Bogotá, Antonio Barrera, Josefina Danies, Manuel Forero, GuillermoGonzález, Evelyne Halpert, Mariano López, Amparo Ochoa, Enrique Suárez Peláez,Jaime Soto and Jairo Victoria founded the Association <strong>of</strong> Pediatric <strong>Dermatology</strong>, choosingDr. Suárez as its first president and Dr. Barrera as secretary. The subfield continuesto grow and expand in the diverse services with the arrival <strong>of</strong> new specialists.Figure 25. EvelyneHalpertHISTORY OF CRYOSURGERYCOLLABORATOR: Carlos Horacio González RojasGilberto Castro Ron, President <strong>of</strong> the <strong>American</strong> College <strong>of</strong> Cryosurgery, started acryosurgery course for dermatologists at the Luis Razetti Institute <strong>of</strong> Oncology in Caracas,which Carlos Horacio González Rojas and Sergio Cáceres Orozco participated in1988, launching modern cryosurgery in Colombia. Dr. González founded the CryosurgeryUnit in the city <strong>of</strong> Armenia, dedicated to the teaching and practice <strong>of</strong> the technique, treatingindigent patients for free. The dermatologists Luis Hernando Moreno, Ángela SeidelArango, Rafael Isaza and Danilo Álvarez Villegas, and the maxill<strong>of</strong>acial surgeon CarlosEnrique Mora, studied under his guidance. Later they would be joined by the dermatologistsMaría Bernarda Gáfaro Barrera, Yamil Alberto Duque Ossman, Joaquín EliécerBerrio Muñoz and Gema Esther Revelo Hernández and the dentists Diego Arango andJulio César Torres. The team later brought in colleagues from other cities, like FabioLondoño, Juan Pedro Velásquez, Gustavo Acevedo Merino and María Mélida Durán, andreceived the cooperation <strong>of</strong> Gerzaín Rodríguez for the reading <strong>of</strong> biopsies. On December3, 1991, in Guadalajara, Mexico, during the CILAD Congress, the Ibero-<strong>American</strong> Association<strong>of</strong> Cryosurgery was founded at the initiative <strong>of</strong> six dermatologists (Figure 26); Dr.Castro Ron was elected president, being succeeded by Dr. González, who at the secondmeeting <strong>of</strong> the Association in Cartagena (1999) (in which 270 national dermatologistsand 70 from abroad took part in) managed to give the technique a greater boost. Manyother outstanding colleagues have contributed to the history <strong>of</strong> the subfield, like VirginiaPalacios Bernal and Luis Fernando Balcázar Romero.129

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