History of Latin American Dermatology

History of Latin American Dermatology History of Latin American Dermatology

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ELBIO FLORES-CEVALLOS, LUIS FLORES-CEVALLOS, ZUÑO BURSTEINMAXIME KUCZYNSKI-GODARD (1890-1967) 14A German immigrant doctor, born in 1890, who contributed greatly to the study ofleprosy in the Peruvian Amazon. He studied medicine in Berlin, where he became Professorof Pathology; he conducted many medical missions around the world. In 1933, dueto Nazi racial laws, he gave up his chair and emigrated first to France and then toVenezuela. In 1936, he arrived in Peru, where he worked feverishly, in the beginningwith Carlos Enrique Paz Soldán at the Social Medicine Institute of the UNMSM, and laterat the Health Ministry. He was assigned important health responsibilities in the Jungle,and later in the Sierra, where he carried out and wrote about many scientific works,among which was his experimental self-inoculation with Peruvian wart, repeating Carrión’searlier experience; for this work he was named honorary member of the NationalAcademy of Medicine. In 1940, the Peruvian government created the Loreto and SanMartín health supervision service, which promptly grew into the Northeastern SupervisionService, headed by Maxime Kuczynski. After founding an anti-leprosy dispensary inIquitos in 1940, he reconstructed the San Pablo asylum as an agricultural colony, obtainingremarkable progress. He also undertook the exploration of many rivers, particularlythe Ucayali, conducting valuable leprosy surveys. He is credited with the firstobservations of leprosy among genuine jungle inhabitants in South America, which hecarried out among the Camo and Cocama tribes 17 .PROFESSIONAL GROUPSOther specialized areas of Medicine that have contributed to the knowledge and developmentof Dermatology in Peru have been related to allergy and immunology. In thisarea, some medical figures stand out, some of whom constituted true training schools forthis specialized field. One such case is the school headed by Dr. Emilio Ciuffardi at thePolice Hospital. Ciuffardi was also founder of the Peruvian Society of Immunopathologyand Allergy. He and Dr. Pedro Vargas Morales, founder of the Bronchial Asthma Society(both deceased), and his followers have contributed to the knowledge of allergic dermatologicaldiseases. In this area, the highly qualified Dermatology and Allergy service ofthe Employee’s Central Hospital (with Dr. Luis Flores 7 as head of the service) must bementioned. Also worthy of mention are Dr. Betteta’s Allergology School, at the 2 de MayoHospital, and the Specialized Institute of Immunology and Allergy run by his followers, agroup related with Dr. José Zegarra Pupi. It is also worth mentioning the contribution ofthe Allergy Service of the Children’s Hospital, headed by Dr. Enrique Drassinower. Allthese people, already deceased, have left followers who are currently linked to Dermatology.History of the teaching of Dermatology in PeruFormal university-level training in Dermatology began in Peru in the mid-twentiethcentury. Drs. Aurelio Loret de Mola and Pablo Arana (1930), Arturo Salas (1941), MarcialAyaipoma (1942), Amaro Urello and Víctor Gonzáles (1943) and Dr. Luis Flores(1947) were the first holders of the Dermatology and Syphilography chair at the St. FerdinandMedical School of the Archbishop Loayza Hospital.PIONEERING PROFESSORSAurelio Loret de Mola (1896-1968) 15Dr. Loret de Mola was a dermatologist who studied this branch of medicine in France,a pioneer in the teaching of Clinical Dermatology in Peru. (Figure 9) He was born in Limain 1896, and he took complete practical Dermatology and Venereology courses with ProfessorJeanselme at the Skin and Syphilitic Diseases Clinic of the Saint-Louis Hospital. He316

History of Dermatology in Perualso studied with Touraine, Norié, Chevallier, Riccard, Ferrand, Flurin and other mastersof French Dermatology.Upon his return to Peru, he became one of the founders of the Archbishop LoayzaHospital, where, from 1927 onwards, he was in charge of the Dermatology and Syphilographyconsulting rooms, replacing Dr. Eleodoro Camacho. He was Interim Professor ofthe Skin Diseases and Syphilis chair at the St. Ferdinand Medical School, and in 1933 hewas appointed lecturer in replacement of Prof. Pedro Weiss. In 1936, he graduated atthat study center as Doctor in Medicine, defending important research work on “Inflammatoryskin reactions and desensitization procedures.”First as Principal Full Professor of Dermatology and Syphilography, in 1937, and lateras Head Lecturer at the San Fernando Medical School, in 1940, he represented Peru invarious congresses in America and Europe, making remarkable contributions.When, in 1961, the Cayetano Heredia Peruvian University of Medical and BiologicalSciences was created, he was appointed Principal Professor and set up the Dermatologychair of that university, where in 1967 he was awarded the rank of Emeritus Professor.Various Medical Academies and multiple Dermatology, Syphilography, Veneorologyand Leprology Associations and Societies in America and Europe incorporated DoctorLoret de Mola as standing member. He was also recognized and given awards by medicalinstitutions in Germany, Argentina, Brazil, Canada, Spain, the U.S., France andVenezuela, among others.He published various articles in national and foreign medical journals, as well asmajor and lengthy research treatises in Dermatology. Among the latter: “On the Treatmentof the Bubonic Plague”, (1923); “Contribution to the Treatment of Blennorrhagia”(1928); “Inflammatory Skin Reactions and Desensitization Procedures” (1936); “My 25-Year Experience In the Treatment of Syphilis” (1953); various articles on “Therapeuticsof Eczema” (between 1926 and 1940), and various works on “Dermatology and SyphilographyTopics” (between 1930 and 1960). He died on November 17, 1968.Figure. 9 Dr. AurelioLoret de MolaPedro Weiss (1893-1985) 15Dr. Weiss was a protean doctor, (Figure 10) who carried out specialized studies inFrance, Germany and Austria in the pathological anatomy and Dermatology fields. Hewas a pioneer in etiological diagnosis and in histopathological and skin-mycological educationin Peru. He was born in 1893 in Lima and obtained a doctorate in medicine fromthe Higher National University of St. Mark, in 1927. Upon his return from Europe in1930, he was appointed Head Professor of the Dermatology and Syphilography Departmentof the Higher National University of St. Mark, replacing Professor Belisario Sosa Artola,who had resigned. In 1935 he was appointed Principal Lecturer of PathologicalAnatomy, carrying out fruitful work as pathologist, archeologist, paleopathologist anddermatologist. As part of his medical assistance work, he founded and headed the Laboratoryservices at the Dos de Mayo Hospital, at the Children’s Hospital and at the PathologicalAnatomy Institute of St. Mark University. He was one of the founders of theCayetano Heredia University; he was Head of the Laboratory Service at the ArchbishopLoayza Hospital, of the Physical Anthropology Department of the National Museum ofAnthropology and Archeology, and of the Physical Anthropology Seminar of St. Mark University.Dr. Weiss worked as Full Principal Professor in the chair of Pathological Anatomy ofthe St. Ferdinand Medical School and as Full Principal Professor of the Physical AnthropologySeminar at the School of Science.His scientific contribution in the field of research is very large, and he had many andmajor publications both in the medical field and in Anthropology. Among the publishedworks on dermatological processes, we mention “Contribution to the Study of the PeruvianWart” (1933); “On a Case of Mycotic Lymphogranulomatosis by ParacoccidioidesFigure 10. Dr. PedroWeiss317

ELBIO FLORES-CEVALLOS, LUIS FLORES-CEVALLOS, ZUÑO BURSTEINMAXIME KUCZYNSKI-GODARD (1890-1967) 14A German immigrant doctor, born in 1890, who contributed greatly to the study <strong>of</strong>leprosy in the Peruvian Amazon. He studied medicine in Berlin, where he became Pr<strong>of</strong>essor<strong>of</strong> Pathology; he conducted many medical missions around the world. In 1933, dueto Nazi racial laws, he gave up his chair and emigrated first to France and then toVenezuela. In 1936, he arrived in Peru, where he worked feverishly, in the beginningwith Carlos Enrique Paz Soldán at the Social Medicine Institute <strong>of</strong> the UNMSM, and laterat the Health Ministry. He was assigned important health responsibilities in the Jungle,and later in the Sierra, where he carried out and wrote about many scientific works,among which was his experimental self-inoculation with Peruvian wart, repeating Carrión’searlier experience; for this work he was named honorary member <strong>of</strong> the NationalAcademy <strong>of</strong> Medicine. In 1940, the Peruvian government created the Loreto and SanMartín health supervision service, which promptly grew into the Northeastern SupervisionService, headed by Maxime Kuczynski. After founding an anti-leprosy dispensary inIquitos in 1940, he reconstructed the San Pablo asylum as an agricultural colony, obtainingremarkable progress. He also undertook the exploration <strong>of</strong> many rivers, particularlythe Ucayali, conducting valuable leprosy surveys. He is credited with the firstobservations <strong>of</strong> leprosy among genuine jungle inhabitants in South America, which hecarried out among the Camo and Cocama tribes 17 .PROFESSIONAL GROUPSOther specialized areas <strong>of</strong> Medicine that have contributed to the knowledge and development<strong>of</strong> <strong>Dermatology</strong> in Peru have been related to allergy and immunology. In thisarea, some medical figures stand out, some <strong>of</strong> whom constituted true training schools forthis specialized field. One such case is the school headed by Dr. Emilio Ciuffardi at thePolice Hospital. Ciuffardi was also founder <strong>of</strong> the Peruvian Society <strong>of</strong> Immunopathologyand Allergy. He and Dr. Pedro Vargas Morales, founder <strong>of</strong> the Bronchial Asthma Society(both deceased), and his followers have contributed to the knowledge <strong>of</strong> allergic dermatologicaldiseases. In this area, the highly qualified <strong>Dermatology</strong> and Allergy service <strong>of</strong>the Employee’s Central Hospital (with Dr. Luis Flores 7 as head <strong>of</strong> the service) must bementioned. Also worthy <strong>of</strong> mention are Dr. Betteta’s Allergology School, at the 2 de MayoHospital, and the Specialized Institute <strong>of</strong> Immunology and Allergy run by his followers, agroup related with Dr. José Zegarra Pupi. It is also worth mentioning the contribution <strong>of</strong>the Allergy Service <strong>of</strong> the Children’s Hospital, headed by Dr. Enrique Drassinower. Allthese people, already deceased, have left followers who are currently linked to <strong>Dermatology</strong>.<strong>History</strong> <strong>of</strong> the teaching <strong>of</strong> <strong>Dermatology</strong> in PeruFormal university-level training in <strong>Dermatology</strong> began in Peru in the mid-twentiethcentury. Drs. Aurelio Loret de Mola and Pablo Arana (1930), Arturo Salas (1941), MarcialAyaipoma (1942), Amaro Urello and Víctor Gonzáles (1943) and Dr. Luis Flores(1947) were the first holders <strong>of</strong> the <strong>Dermatology</strong> and Syphilography chair at the St. FerdinandMedical School <strong>of</strong> the Archbishop Loayza Hospital.PIONEERING PROFESSORSAurelio Loret de Mola (1896-1968) 15Dr. Loret de Mola was a dermatologist who studied this branch <strong>of</strong> medicine in France,a pioneer in the teaching <strong>of</strong> Clinical <strong>Dermatology</strong> in Peru. (Figure 9) He was born in Limain 1896, and he took complete practical <strong>Dermatology</strong> and Venereology courses with Pr<strong>of</strong>essorJeanselme at the Skin and Syphilitic Diseases Clinic <strong>of</strong> the Saint-Louis Hospital. He316

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