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 BURSTEINAmong the ten Teaching and Treatment Services of the UNMSM, located at the Dos deMayo, Arzobispo Loayza, Víctor Larco Herrera (for the mentally ill), St. Bartholomew’sMother and Child, and Callao’s Daniel A. Carrión Complex hospitals, special attentionshould be drawn, in the history of Peruvian Dermatology, to the Dermatology Teachingand Treatment Service of the UNMSM, located at the Dos de Mayo Hospital, whose headwas Dr. Aizic Cotlear. It became the most important educational and treatment nucleusof attraction in Dermatology in the country, and more than justified the certification bythe relevant university authorities as the central location of the first Dermatology SpecializationProgram in the academic mode in Peru.The governmental and paragovernmental health institutions that request the trainingof the specialized doctors they require, have to create the vacancies, taking care of thefinancial aspect, and must coordinate the call for selection with the University, abidingby the University Regulations of the Program of Second Specialization in HumanMedicine.EARLY COMMITTEES FOR THE SPECIALIZATION IN DERMATOLOGY AND TROPICAL MEDICINEOn March 15, 1974, the Board of the UNMSM’s Academic Programs of HumanMedicine adopted 27 Committees for the Specialization in Human Medicine, including theDermatology Committee, presided at the beginning by professor Dr. Aizic Cotlear, and includingDrs. Dante Mendoza, José San Martín and Alejandro Morales, and the TropicalMedicine Committee, presided by professor Dr. Zuño Burstein; these two committees establisheda close academic and service relationship. At present, the Dermatology Committeeis presided by professor Dr. Dante Mendoza, and the Tropical Medicine Committeeis headed by professor Dr. Abelardo Tejada.Through its Second Program of Specialization in Human Medicine, on March 3, 1974,and April 16, 1975, the UNMSM published in national newspapers the rules, steps andrequirements for the obtainment of the degrees of specialist in Human Medicine underthe non-academic mode, for 28 specialized fields, which include Surgical Doctor Specializingin Dermatology and Surgical Doctor Specializing in Tropical Medicine.On April 22, 1974, the UNMSM, with its Academic Programs of Human Medicine andthe Second Specialization Program, publicly exercising the rights and duties establishedby law and those on the path to being instituted, handed out specialization degrees in thevarious medical branches under the academic mode.This bestowment of degrees (on those who had successfully completed their trainingat the former Graduate School) was carried out in solemn public session at Lima’s MunicipalPalace, by invitation of the President of the UNMSM and the President of theCONUP, with the presence of the Minister of Education and the Mayor of the ProvincialCouncil of Lima. With this action, it was publicly reaffirmed that the only organization inPeru authorized to grant Professional Specialist Degrees on behalf of the Nation is thePeruvian University.Historical aspects of Tropical Medicine Institutes and of ScientificResearch in Dermatology in PeruThe history of Dermatology in Peru has been closely linked to the development ofTropical Medicine as a specialized field, both in the academic and research aspect of Peruvianmedical reality, and in professional practice. The important field of Tropical SanitaryDermatology, which encompasses the study of pathologies shared by these twospecialized fields — such as the Peruvian wart, leishmaniasis, deep mycoses, leprosy,STDs, AIDS, etc. — requires the inclusion of a historical account, even if brief, of the existingresearch centers in Peru, linked to dermatological activity.336

History of Dermatology in PeruDANIEL A. CARRIÓN INSTITUTE OF TROPICAL MEDICINE OF THE NATIONALHIGHER UNIVERSITY OF ST. MARK (UNMSM)In the mid 1950s, a group of young professionals from the Tropical Medicine Departmentof the UNMSM’s St. Ferdinand Medical School — headed by Professor Dr. HugoPesce — and from other academic scientific institutions had a meeting. They were hostedby Professor Dr. Enrique Encinas in his Laboratory of Neuropathological Research at theVíctor Larco Herrera Hospital, with the authorization and approval of its Director, Dr.Juan Francisco Valega. Among them was Dr. Hugo Lumbreras, who had been sent byProf. Encinas with the Alexander Von Humboldt scholarship to the Institute of TropicalMedicine in Hamburg, where, in coordination with Dr. Zuño Burstein in Lima, he arrangedthe trip to the Peruvian capital of professor Dr. Ernst Georg Nauck, head of thatInstitute, commissioned by the German government to determine the appropriateness ofGerman help — through an agreement with the Peruvian government — for the creationof an Institute of Tropical Medicine in Lima, at the UNMSM campus.That sponsoring group — which in 1963 made possible the creation of the Daniel A. CarriónInstitute of Tropical Medicine of the UNMSM — was made up of Doctor Olga Palacios,virologist physician, later head of that center for a long time; Dr. Zuño Burstein, tropicalistdermatologist, later appointed emeritus professor of the UNMSM; Dr. Hugo Lumbreras, tropicalistphysician, who created and up to his death headed the Alexander Von Humboldt Instituteof Tropical Medicine of the Cayetano Heredia Private University; Dr. Abelardo Tejada,tropicalist physician, who in 2003 was elected director of the UNMSM Institute; Dr. OscarRomero, tropicalist dermatologist, who was later head professor and head of the Chair ofDermatology of the UNMSM; Dr. César Náquira, microbiologist physician, who in 2004 wasappointed head of Peru’s National Health Institute, and other physicians of distinction.At present, the Daniel A. Carrión Institute of Tropical Medicine is a research, teaching,and health-staff training center, which provides specialized services aimed to thecommunity, and which, in addition to diagnostic laboratories for bacteriology, parasitology,entomology, mycology, virology and histopathology, has specialized units for researchinto toxoplasmosis, bartonellosis, leishmaniasis and leprosy, among others. It alsohas a service of Sanitary Dermatology handled by five dermatologists.The Daniel A. Carrión Institute of Tropical Medicine is a national referral center of internationalprestige, where professionals from abroad and from different parts of thecountry, as well as residents in Infectology, Tropical Medicine, Internal Medicine, Dermatologyand Clinical Pathology, not only from the UNMSM but also from other universities,arrive to receive training in Tropical Medicine.It maintains relations with the different universities of the country and from abroad,with the WHO Pan-American Sanitary Office, with the Institute of Tropical Medicine ofthe U.S. Navy (NAMRED), and has agreements with the Health Ministry in order to developcontrol programs for malaria, metaxenic diseases, hydatidosis, leprosy and otherSanitary Dermatology ailments.It has a modern four-story building, located on the St. Mark campus. It contains 40laboratories, 20 offices, outpatient offices, internship rooms for undergraduate and graduatestudents, an auditorium, the Hugo Pesce specialized library, and a room for lab animals(Figure 23).The Daniel A. Carrión Institute of Tropical Medicine issues a publication, the RevistaPeruana de Medicina Tropical, which is its official organ for scientific reporting.ALEXANDER VON HUMBOLDT INSTITUTE OF TROPICAL MEDICINE OF THE CAYETANOHEREDIA PERUVIAN UNIVERSITY (UPCH)In 1968, the UPCH, a private university, approved the creation of a new institute oftropical medicine in Lima, by the name of “Alexander Von Humboldt Institute of TropicalMedicine,” and appointed Dr. Hugo Lumbreras to organize it.337

<strong>History</strong> <strong>of</strong> <strong>Dermatology</strong> in PeruDANIEL A. CARRIÓN INSTITUTE OF TROPICAL MEDICINE OF THE NATIONALHIGHER UNIVERSITY OF ST. MARK (UNMSM)In the mid 1950s, a group <strong>of</strong> young pr<strong>of</strong>essionals from the Tropical Medicine Department<strong>of</strong> the UNMSM’s St. Ferdinand Medical School — headed by Pr<strong>of</strong>essor Dr. HugoPesce — and from other academic scientific institutions had a meeting. They were hostedby Pr<strong>of</strong>essor Dr. Enrique Encinas in his Laboratory <strong>of</strong> Neuropathological Research at theVíctor Larco Herrera Hospital, with the authorization and approval <strong>of</strong> its Director, Dr.Juan Francisco Valega. Among them was Dr. Hugo Lumbreras, who had been sent byPr<strong>of</strong>. Encinas with the Alexander Von Humboldt scholarship to the Institute <strong>of</strong> TropicalMedicine in Hamburg, where, in coordination with Dr. Zuño Burstein in Lima, he arrangedthe trip to the Peruvian capital <strong>of</strong> pr<strong>of</strong>essor Dr. Ernst Georg Nauck, head <strong>of</strong> thatInstitute, commissioned by the German government to determine the appropriateness <strong>of</strong>German help — through an agreement with the Peruvian government — for the creation<strong>of</strong> an Institute <strong>of</strong> Tropical Medicine in Lima, at the UNMSM campus.That sponsoring group — which in 1963 made possible the creation <strong>of</strong> the Daniel A. CarriónInstitute <strong>of</strong> Tropical Medicine <strong>of</strong> the UNMSM — was made up <strong>of</strong> Doctor Olga Palacios,virologist physician, later head <strong>of</strong> that center for a long time; Dr. Zuño Burstein, tropicalistdermatologist, later appointed emeritus pr<strong>of</strong>essor <strong>of</strong> the UNMSM; Dr. Hugo Lumbreras, tropicalistphysician, who created and up to his death headed the Alexander Von Humboldt Institute<strong>of</strong> Tropical Medicine <strong>of</strong> the Cayetano Heredia Private University; Dr. Abelardo Tejada,tropicalist physician, who in 2003 was elected director <strong>of</strong> the UNMSM Institute; Dr. OscarRomero, tropicalist dermatologist, who was later head pr<strong>of</strong>essor and head <strong>of</strong> the Chair <strong>of</strong><strong>Dermatology</strong> <strong>of</strong> the UNMSM; Dr. César Náquira, microbiologist physician, who in 2004 wasappointed head <strong>of</strong> Peru’s National Health Institute, and other physicians <strong>of</strong> distinction.At present, the Daniel A. Carrión Institute <strong>of</strong> Tropical Medicine is a research, teaching,and health-staff training center, which provides specialized services aimed to thecommunity, and which, in addition to diagnostic laboratories for bacteriology, parasitology,entomology, mycology, virology and histopathology, has specialized units for researchinto toxoplasmosis, bartonellosis, leishmaniasis and leprosy, among others. It alsohas a service <strong>of</strong> Sanitary <strong>Dermatology</strong> handled by five dermatologists.The Daniel A. Carrión Institute <strong>of</strong> Tropical Medicine is a national referral center <strong>of</strong> internationalprestige, where pr<strong>of</strong>essionals from abroad and from different parts <strong>of</strong> thecountry, as well as residents in Infectology, Tropical Medicine, Internal Medicine, <strong>Dermatology</strong>and Clinical Pathology, not only from the UNMSM but also from other universities,arrive to receive training in Tropical Medicine.It maintains relations with the different universities <strong>of</strong> the country and from abroad,with the WHO Pan-<strong>American</strong> Sanitary Office, with the Institute <strong>of</strong> Tropical Medicine <strong>of</strong>the U.S. Navy (NAMRED), and has agreements with the Health Ministry in order to developcontrol programs for malaria, metaxenic diseases, hydatidosis, leprosy and otherSanitary <strong>Dermatology</strong> ailments.It has a modern four-story building, located on the St. Mark campus. It contains 40laboratories, 20 <strong>of</strong>fices, outpatient <strong>of</strong>fices, internship rooms for undergraduate and graduatestudents, an auditorium, the Hugo Pesce specialized library, and a room for lab animals(Figure 23).The Daniel A. Carrión Institute <strong>of</strong> Tropical Medicine issues a publication, the RevistaPeruana de Medicina Tropical, which is its <strong>of</strong>ficial organ for scientific reporting.ALEXANDER VON HUMBOLDT INSTITUTE OF TROPICAL MEDICINE OF THE CAYETANOHEREDIA PERUVIAN UNIVERSITY (UPCH)In 1968, the UPCH, a private university, approved the creation <strong>of</strong> a new institute <strong>of</strong>tropical medicine in Lima, by the name <strong>of</strong> “Alexander Von Humboldt Institute <strong>of</strong> TropicalMedicine,” and appointed Dr. Hugo Lumbreras to organize it.337

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