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History of Latin American Dermatology

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M. MADERO, F. MADERO, G. MONTENEGRO, M. COELLO, C. ARIASFigure 34.Promotional poster <strong>of</strong>the 3rd EcuadorianSessions <strong>of</strong><strong>Dermatology</strong> inCuenca, May 1979Figure 35. “FranklinEncalada Córdova”award given to theEcuadorian Society <strong>of</strong><strong>Dermatology</strong>, AzuayNucleus, Cuenca,1992traveling seminars to different regions in the south, with conferences and treatment <strong>of</strong>patients, etc., have been planned and organized, events that have caused the Azuay MedicalAssociation to grant our Society the honor <strong>of</strong> the “Franklin Encalada Córdova” (formerly,Azuay Medical Association) award, for the 1992 period, which rewards thescientific-pr<strong>of</strong>essional and social work <strong>of</strong> the different Societies associated with thatprovincial Medical Association 24 (Figure 35).In this brief summary <strong>of</strong> our society, there are events worth including, such as the presentationand publication <strong>of</strong> the First case <strong>of</strong> lobomycosis in Ecuador in 1985 by Drs. IvánZéas D., Franklin Encalada C. and Mauricio Coello U., members <strong>of</strong> our nucleus 29, 33 .Since 1968, the Azuay Nucleus, headed by Drs. Claudio Arias and Franklin Encalada,participated in the description <strong>of</strong> a variety <strong>of</strong> leishmaniasis that, because <strong>of</strong> its characteristics— age (mostly children), location (exposed areas: the face), type <strong>of</strong> lesions(small, rounded) and geographic area (southern: provinces <strong>of</strong> Azuay and Cañar, between2,400 and 2,500 meters above sea level) — was later to be called “high altitude urbanLeishmaniasis.” This disease reached its maximum frequency in the years 1978-1980,coinciding with a time <strong>of</strong> drought; the work was presented at the Eleventh EcuadorianCongress <strong>of</strong> <strong>Dermatology</strong> in Quito in 1982 19 ).Another important event that is worth recalling is the First International Meeting <strong>of</strong> <strong>Dermatology</strong>held in Cuenca on February 13, 1999, under the presidency <strong>of</strong> Dr. Marcelo Merchán,with the presence and participation <strong>of</strong> pr<strong>of</strong>essors Luis Díaz (Medical College <strong>of</strong>Wisconsin), Thomas Lewley (Atlanta, Georgia), Richard Edelson (Yale University) and EvandroRivitii (São Paulo, Brazil), and enjoyed massive local and national participation 24, 32 .The Azuay Nucleus, headed by Dr. Edgar Reinoso, additionally organized from April5 to 7, 2001, in Cuenca, the International Teenage <strong>Dermatology</strong> Course, which had greatacceptance and participation both among general practitioners and specialists nationwide24 .With the aim <strong>of</strong> contributing to scientific development and the education <strong>of</strong> the medicalpopulation in general, the members <strong>of</strong> the Azuay Nucleus, and particularly Drs.Marcelo Merchán and Víctor León, participated in the drafting and distribution <strong>of</strong> whatwere given the name <strong>of</strong> “<strong>Dermatology</strong> Notebooks,” as a continuing Medical Educationprogram in General <strong>Dermatology</strong> and Pediatrics; these publications have been distributedsince 2001. Following this initiative, Osvaldo Muñoz, Marcelo Merchán, MauricioCoello, Víctor León and Teodoro Espinosa, with the support <strong>of</strong> the Ecuadorian Society<strong>of</strong> <strong>Dermatology</strong> and the sponsorship <strong>of</strong> the Department <strong>of</strong> Culture <strong>of</strong> the University <strong>of</strong>Cuenca, in 2002 published a book entitled Prevention <strong>of</strong> Skin Diseases, aimed at the educationand training not only <strong>of</strong> the medical population, but also <strong>of</strong> the public at large,by virtue <strong>of</strong> its easy and comprehensible language 34 .Finally, we should point out that, with regard to the pr<strong>of</strong>essional aspect, the AzuayNucleus has provided national <strong>Dermatology</strong>, among other things, with the drafting, discussionand definitive approval <strong>of</strong> the National Session Regulations 24, 32 ; the discussionand approval <strong>of</strong> the Publication Regulations <strong>of</strong> the Dermatología Journal; the draftingand discussion <strong>of</strong> the Regulations for Bylaws <strong>of</strong> the Ecuadorian Society, which, once approved,will contribute to organizing and regulating activities both at the local and nationallevels 24 . The Azuay Nucleus has its own premises, acquired in 1993, where itsheadquarters operate and where, year after year, a library and a slides archive are beingimplemented 24 .The facts summarized in the above paragraphs speak for themselves regarding theunity and work mystique that characterizes those <strong>of</strong> us who are proud to be part <strong>of</strong> theAzuay Nucleus <strong>of</strong> the Ecuadorian Society <strong>of</strong> <strong>Dermatology</strong>, “considered to be one <strong>of</strong> themost united societies in the country; with discrepancies that bring us together, becausethey fine-tune ideas, with tensions that at some moment might have had quasi-personalcharacteristics (especially at the national level), but which have been already smoothed214

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