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History of Latin American Dermatology

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ELBIO FLORES-CEVALLOS, LUIS FLORES-CEVALLOS, ZUÑO BURSTEINLima’s Dos de Mayo Hospital was inaugurated on February 28, 1875, as one <strong>of</strong> thelargest and most modern hospital treatment centers <strong>of</strong> its time, with a team <strong>of</strong> pr<strong>of</strong>essionalswho, while fulfilling their treatment activities, were pr<strong>of</strong>essors at the UNMSMMedical School.This great hospital center has played an important role in the history <strong>of</strong> Peruvianmedicine, not only because the pathology from all the regions <strong>of</strong> Peru was collected there(being a referral and treatment-concentration center at the national level), but also becauseall Peruvian doctors studied there, embracing many university research and facultyteams, at first just from the UNMSM, and later from other universities.At this hospital, as <strong>of</strong> 1950, Dr. Zuño Burstein initially worked as intern, then as assistantin the Pathology Department, and, starting in 1957, as assistant in the <strong>Dermatology</strong>Service, in the St. Lazarus ward, whose head was Dr. Arturo Salas, pr<strong>of</strong>essor <strong>of</strong> Dr.Loret de Mola’s Chair <strong>of</strong> <strong>Dermatology</strong> and, also, Head <strong>of</strong> the <strong>Dermatology</strong> Service <strong>of</strong> thePolice Hospital, among other posts. At that Service, Drs. Oscar Romero and Abelardo Tejadaalso worked as free assistants; the latter subsequently moved to the UNMSM Institute<strong>of</strong> Tropical Medicine, where he is currently the Director; Drs. Marcial Ríos and LuisRomero, members <strong>of</strong> Dr. Loret de Mola’s Chair <strong>of</strong> <strong>Dermatology</strong> and Syphilography, alsoattended.At that time, the head <strong>of</strong> the Hospital’s Central Laboratory was Dr. Félix Castillo; theMicrobiology Laboratory was headed by Dr. Julio Morales Saravia, and Dr. Rafael Acostawas in charge <strong>of</strong> mycological diagnoses and research. The head <strong>of</strong> the Pathology Department,a university teaching and treatment unit, created by Dr. Pedro Weiss, was Dr.Oscar Arteaga; outstanding pr<strong>of</strong>essionals, such as Dr. Hugo Lumbreras (a tropicalist,later founder <strong>of</strong> the Alexander Von Humboldt Institute <strong>of</strong> Tropical Medicine), among others,worked there, and tropical dermatological pathology (Peruvian wart, leishmaniasis,leprosy, deep mycoses, and others) was intensively studied there. The university-levelClinics Laboratory, headed by Dr. Vitaliano Manrique, provided support to the facultywork. This is how a support structure for the diagnosis and thorough research <strong>of</strong> nationalpathologies was rounded out at the Dos de Mayo Hospital.On January 1, 1962, the Protozoology and Mycology Research Laboratory was addedto the hospital, as a dependency <strong>of</strong> the UNMSM’s Chair <strong>of</strong> Tropical Medicine, headed byDr. Zuño Burstein, Assistant Pr<strong>of</strong>essor <strong>of</strong> Tropical Medicine and <strong>Dermatology</strong> at theUNMSM.With this hospital base, in early 1962, the university-level academic activity was establishedand opened for medical students, under the coordination <strong>of</strong> Dr. Zuño Burstein,at the new Chair <strong>of</strong> <strong>Dermatology</strong> and Syphilography <strong>of</strong> the UNMSM’s St. Ferdinand MedicalSchool at the Dos de Mayo Hospital, with Dr. Clement Counter (a U.S. dermatologist)as pr<strong>of</strong>essor in charge, and involving a faculty made up <strong>of</strong> Drs. Abelardo Indacochea,Zuño Burstein, Raúl Gallarday, César Rojas, Juan Manrique and Humberto Benavides asassistant pr<strong>of</strong>essors; Enrique Sifuentes, Wenceslao Castillo, Pedro Ortiz, Carlos Regaladoand Juan Meza as head instructors; and Julio Bonilla, Humberto Ugaz and Dante Mendozaas collaborators.Drs. Luis Castro Mendívil, Hugo Pesce, Julio Bedoya, Wilfredo Gardini, Oscar Romeroand Félix Castillo participated as invited pr<strong>of</strong>essors. Thus began a new multidisciplinarystage, including venereology, allergy, pediatric dermatology, pathological anatomy, mycology,physical therapeutics, radiotherapy and other physical procedures according tothe specialized orientation <strong>of</strong> the faculty taken on, which allowed for the modernization<strong>of</strong> pr<strong>of</strong>essional teaching and practice.Late that same year (1962), Dr. Aizic Cotlear was brought into the faculty throughcompetition, as Associate Lecturer; Dr. Cotlear set up and for many years led the modern<strong>Dermatology</strong> School <strong>of</strong> the UNMSM’s St. Ferdinand Medical School at the Dos deMayo Hospital, which had the responsibility <strong>of</strong> granting the first Specialist in <strong>Dermatology</strong>334

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