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History of Latin American Dermatology

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Historical outline <strong>of</strong> <strong>Dermatology</strong> in Cubaopened the first room for the treatment <strong>of</strong> leprosy patients, headedby Dr. Matías Duque Perdomo, Cuba’s first Secretary for Health andWelfare, a clinical doctor and surgeon who studied that disease 11(Figure 3).In 1907, after teaching numerous courses to medical students,Pr<strong>of</strong>. G. Menocal saw the need to publish a text that would assist inthe understanding <strong>of</strong> dermatological diseases. With that aim, he publishedthe book Notions <strong>of</strong> Skin Diseases and Syphilis, followed in1911 by the Handbook <strong>of</strong> Skin Diseases and Syphilis.Among his merits was that <strong>of</strong> awakening in his students the interestin skin diseases. The most distinguished among them wereDrs. Braulio Sáenz and Vicente Pardo Castelló, his continuators,who completed their dermatological training with study scholarshipsobtained as eminent students at the University <strong>of</strong> Havana.Dr. Sáenz graduated as a medical doctor in 1909 and soon decidedto specialize in dermatosyphilography, pursuing studies inPhiladelphia, Paris, Vienna and Berlin. He returned to Cuba in1914 and was appointed graduate assistant at the Pr<strong>of</strong>. Menocal’s<strong>Dermatology</strong> and Syphilography Service 9 (Figure 4).Dr. Pardo, who graduated in 1914, acquired his first dermatologicalknowledge as an intern with Pr<strong>of</strong>. G. Menocal. In 1915 hetraveled to the Unites States where he worked with major dermatologists (Figure 5).Menocal — the master — died in 1917; a year later, on September 4, 1918, Dr. Sáenz,in open contest, obtained the post <strong>of</strong> full pr<strong>of</strong>essor. As <strong>of</strong> that moment, <strong>Dermatology</strong> acquiredseparate status as a specialized field and the chair was constituted with headquartersat the Our Lady <strong>of</strong> Mercies Hospital. For his part, in 1924, when the UniversityReform came into force, Dr. Pardo obtained the post <strong>of</strong> auxiliary pr<strong>of</strong>essor heading theDermatosyphilography Clinic.In 1925, the <strong>Dermatology</strong> Service <strong>of</strong> the Calixto García Hospital was opened, constitutedby Mycology, Dermatopathology, Clinical Laboratory, Radiotherapy, Surgery, Leprosy andSyphilis, Social Services and other sections; Pr<strong>of</strong>. Pardo was appointed to head it.Following the criterion <strong>of</strong> pr<strong>of</strong>essors Sáenz and Pardo, the dean <strong>of</strong> the Medical Schooldivided the course into two groups, one being headed byPr<strong>of</strong>. Sáenz at the Mercies Hospital and the other by Pr<strong>of</strong>.Pardo at the Calixto García Hospital 10 ; as <strong>of</strong> that momentthe teaching <strong>of</strong> <strong>Dermatology</strong> began to be <strong>of</strong>fered at the country’stwo highest-level hospital centers.As a private social action undertaking, the League for SocialHygiene was created in 1925; it had an ephemeral lifespanand was replaced in 1928 by the Cuban League forSocial Prophylaxis, which carried out public information anddissemination activities.In 1927 Pr<strong>of</strong>. Pardo published his book Notions <strong>of</strong> <strong>Dermatology</strong>and Syphilography, re-edited in 1941, 1945 and 1953under the title <strong>Dermatology</strong> and Syphilography. Noted dermatologistsfrom Brazil, Mexico, Peru and El Salvador, aswell as 21 Cuban authors, collaborated in these new editions.In 1928, as part <strong>of</strong> the growth <strong>of</strong> the Mercies Hospital, the wing allocated to the <strong>Dermatology</strong>Service was built — endowing it with all the sections required by a treatmentand teaching service — and it was given the name <strong>of</strong> “Raimundo Menocal.” In 1934, theupper story <strong>of</strong> the wing was built, bequeathed by Pr<strong>of</strong>. Sáenz in memory <strong>of</strong> his wife andchildren, tragically lost in the Morro Castle maritime disaster 12 .Figure 2. Our Lady <strong>of</strong>Mercies Hospital(1886)Figure 3. HospitalNo. 1, current GeneralCalixto GarcíaUniversity Hospital(1896)Figure 4. BraulioSáenz Ricard(1886-1961)Figure 5. VicentePardo Castelló(1892-1967)153

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