History of Latin American Dermatology
History of Latin American Dermatology History of Latin American Dermatology
PAULO R. CUNHAKaposi’s sarcoma, respectively. These initiatives came under the coordination of Dr.Ronaldo Barros de Freitas.The Chair of the Dermatology and Syphilology Clinic was created in 1922, for thefourth year of the medical course of the then-Medical and Surgery School of Pará, withProfessor Manuel Ferreira dos Santos Bastos leading the specialized field. In 1951, Prof.Domingos Barbosa da Silva was appointed Head of the Chair, confirmed in 1955; formany years, he was also in charge of the leadership of the Dermatology Department, inwhich many generations of specialists were trained.The Department of Tropical Pathology, Dermatology Service of the Federal Universityof Pará — of which the Head is an ex-president of the BSD, Dr. Arival Cardoso de Brito— carries out its activity in two sections, at premises located at the facilities of Pará’sHoly House of Mercy Foundation. There are eight outpatient rooms, an auditorium, agraduate mini-auditorium, a dermopathology laboratory, a mycology laboratory, twosurgery wards, a ward for ulcers, an infirmary ward, a medicine-delivery office, a library,an office for the secretary and two waiting rooms for patients.The current Dermatology faculty of the PAFU is made up of 13 professors. Researchon various topics is carried out, such as treatment with new chemotherapies for JorgeLobo’s disease, hanseniasis and leishmaniasis, superficial and deep mycoses with imidazolesand the use of new compounds in ectoparasitosis.PernambucoIn Pernambuco, the services certified by the BSD correspond to the Hospital of theFederal University Clinics, the Head of the Service being Prof. Josemir Belo dos Santos;the Santo Amaro Hospital, the Head of the Service being Professor Itamar Belo dos Santos,and the Oswaldo Cruz University Hospital, the Head of the Service being Prof. Dr.Emmanuel Rodrigues de França.CearáFounded in 1975, the current Dona Libânia Dermatology Center, of Ceará’s StateHealth Secretariat, is the public and macro-regional referral center for hanseniasis. Fortwenty years, it carried out hanseniasis and tuberculosis control activities. Presently, italso performs treatment, research and education activities. It covers the sectors ofhansenology, leishmaniasis, skin cancer, STD, cutaneous allergy, pediatric dermatology,dermatological surgery, tuberculosis and other dermatoses. Its General Director is Dr.Heitor de Sá Gonçalves, second Secretary of the BSD in the 2005-2006 management; theHead of the Service is Dr. Maria Araci Pontes Aires.In 2003, the BSD awarded a new certification to the Walter Cantídio University Hospital,the Head of the Service being Dr. José Wilson Acioly Filho.Rio Grande do NorteThe Dermatology Service linked to the Medical School, located at the Onofre LopesHospital of the Federal University of Rio Grande do Norte, under the coordination of Dr.Pedro Bezerra da Trindade Neto, has its own area within the Hospital, with six outpatientrooms, two wards equipped for surgery and cryosurgery, a cosmiatry ward, one mycologylaboratory, a meeting room, a phototherapy unit, one ward for ulcers and aninfirmary with six beds. Certified in 1999 by the BSD, it offers the Dermatology course,practice and theory courses for seventh-period medical students, and theoretical andpractical training for doctors carrying out their medical internships at the clinic and forMedical Doctorate students. The service annually provides two internship vacancies authorizedby the Ministry of Education and Culture (MEC). In the last five years, 91% of internspassed the exam to obtain the degree of specialist from the BSD.At this service, research projects and scientific works in the area of bullous90
Dermatology and dermatologists in Brazilgenodermatosis are undertaken, specifically benign familiar chronic pemphigus, the subjectof Prof. Pedro Bezerra da Trindade Neto’s PhD thesis. Studies related to the epidemiologyof melanoma in Rio Grande do Norte are also carried out, with cytology applied to the diagnosisof cutaneous diseases, the project of Prof. Thomas de Aquino Paulo Filho’s thesis.SergipeIn Sergipe, the University Hospital is the only one certified by the BSD, and has Prof.Pedro Menezes Portugal as Head of Service.AlagoasStemming from the pioneering activity of the young doctors Aldo de Sá Cardoso (a studentof Jorge Lobo in Recife, who graduated in 1938) and Aderbal Loureiro Jatobá, Dermatologycare began to be offered in private clinical practice in 1940.Years later, Jorge Duarte Quintela Cavalcanti also began to practice the specializedfield in Maceió. On March 5, 1951, medical education was set up in the State, and Dr.Aldo Cardoso was the physician chosen to be professor of the Dermatology and SyphilographyChair. Once the University was created, other dermatologists graduated, such asZirelli Valença — who described the Zirelli signal — and Nehemias de Alencar.With the creation of the Alagoas Medical Sciences School, on March 15, 1970, theDermatology Chair was set up by Prof. Aldo Cardoso, whose assistant, Dr. Alberto EduardoCox Cardoso, was later head of the Chair.BrasiliaIn 1980, the current Dermatology Service of Brasilia’s University Hospital (BUH) wasborn from the merger of the Dermatology Service of the Union Servers’ Hospital (USH),IPASE, which later passed to the INAMPS, and the Dermatology Service of the SchoolHospital of the Sobradinho Integrated Health Unit (SIHU), of the University of Brasilia.At the original services, the following names stand out: Drs. Iphis Campbell andGladys Campbell (initiators), Roberto Doglia Azambuja, Rosicler Álvares and CarméliaMatos Reis (USH) and Prof. Raimunda Nonata Ribeiro Sampaio (initiator), as well as RosiclerAíza Álvares (SIHU). At the BUH, we can mention Drs. Antônio de Pádua, Ana MariaCosta Pinheiro, Ribeiro de Paula and Gerson Pena — the latter a researcher in the researchnucleus of the BNU and President of the BSD’s sixtieth Congress of Dermatology(Brazilia 2005). At present, there are ten dermatologists from BUH.The outpatient office for research into American tegumentary leishmaniasis, whichoperated since 1975 at the SIHU-BNU, created by Prof. Raimunda (also head of service)under the encouragement of Prof. Philip Davis Marsden (in memoriam) was transferredto the BUH, maintaining the line of research. A short time later, Prof. Rosicler and Dr.Iphis created the Pemphigus Outpatient Clinic, while those of hanseniasis, cryosurgery,mycosis, psoriasis, skin aging, pediatric dermatology and cutaneous tumors were institutedand/or coordinated by Drs. Rosicler Álvares, Carmélia, Gladyz, Izelda and Ana. InFebruary 1999, at the initiative of Prof. Raimunda Nonata Ribeiro Sampaio, the Sexually-Transmitted Diseases Unit was created, with a multidisciplinary character and with theparticipation of the Gynecology, Proctology and Urology services. In total, 14,400 patientswith skin diseases are treated annually.The Dermatology course was officially created in 1971 by the BNU, but only as of1974 did it operate independently of the Medical Service. This course has a total of hourscorresponding to four credits. The medical residency, created according to Rio’s HSEmodel, began in 1974, having Dr. Izelda Costa as the first resident. At this service, 34 residentsand 19 interns have graduated up to the moment. The medical internship of thepresent-day BUH is also oriented towards research, and the presentation of a monographat the end of the course constitutes a requisite to obtain the certificate. All residents present91
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PAULO R. CUNHAKaposi’s sarcoma, respectively. These initiatives came under the coordination <strong>of</strong> Dr.Ronaldo Barros de Freitas.The Chair <strong>of</strong> the <strong>Dermatology</strong> and Syphilology Clinic was created in 1922, for thefourth year <strong>of</strong> the medical course <strong>of</strong> the then-Medical and Surgery School <strong>of</strong> Pará, withPr<strong>of</strong>essor Manuel Ferreira dos Santos Bastos leading the specialized field. In 1951, Pr<strong>of</strong>.Domingos Barbosa da Silva was appointed Head <strong>of</strong> the Chair, confirmed in 1955; formany years, he was also in charge <strong>of</strong> the leadership <strong>of</strong> the <strong>Dermatology</strong> Department, inwhich many generations <strong>of</strong> specialists were trained.The Department <strong>of</strong> Tropical Pathology, <strong>Dermatology</strong> Service <strong>of</strong> the Federal University<strong>of</strong> Pará — <strong>of</strong> which the Head is an ex-president <strong>of</strong> the BSD, Dr. Arival Cardoso de Brito— carries out its activity in two sections, at premises located at the facilities <strong>of</strong> Pará’sHoly House <strong>of</strong> Mercy Foundation. There are eight outpatient rooms, an auditorium, agraduate mini-auditorium, a dermopathology laboratory, a mycology laboratory, twosurgery wards, a ward for ulcers, an infirmary ward, a medicine-delivery <strong>of</strong>fice, a library,an <strong>of</strong>fice for the secretary and two waiting rooms for patients.The current <strong>Dermatology</strong> faculty <strong>of</strong> the PAFU is made up <strong>of</strong> 13 pr<strong>of</strong>essors. Researchon various topics is carried out, such as treatment with new chemotherapies for JorgeLobo’s disease, hanseniasis and leishmaniasis, superficial and deep mycoses with imidazolesand the use <strong>of</strong> new compounds in ectoparasitosis.PernambucoIn Pernambuco, the services certified by the BSD correspond to the Hospital <strong>of</strong> theFederal University Clinics, the Head <strong>of</strong> the Service being Pr<strong>of</strong>. Josemir Belo dos Santos;the Santo Amaro Hospital, the Head <strong>of</strong> the Service being Pr<strong>of</strong>essor Itamar Belo dos Santos,and the Oswaldo Cruz University Hospital, the Head <strong>of</strong> the Service being Pr<strong>of</strong>. Dr.Emmanuel Rodrigues de França.CearáFounded in 1975, the current Dona Libânia <strong>Dermatology</strong> Center, <strong>of</strong> Ceará’s StateHealth Secretariat, is the public and macro-regional referral center for hanseniasis. Fortwenty years, it carried out hanseniasis and tuberculosis control activities. Presently, italso performs treatment, research and education activities. It covers the sectors <strong>of</strong>hansenology, leishmaniasis, skin cancer, STD, cutaneous allergy, pediatric dermatology,dermatological surgery, tuberculosis and other dermatoses. Its General Director is Dr.Heitor de Sá Gonçalves, second Secretary <strong>of</strong> the BSD in the 2005-2006 management; theHead <strong>of</strong> the Service is Dr. Maria Araci Pontes Aires.In 2003, the BSD awarded a new certification to the Walter Cantídio University Hospital,the Head <strong>of</strong> the Service being Dr. José Wilson Acioly Filho.Rio Grande do NorteThe <strong>Dermatology</strong> Service linked to the Medical School, located at the On<strong>of</strong>re LopesHospital <strong>of</strong> the Federal University <strong>of</strong> Rio Grande do Norte, under the coordination <strong>of</strong> Dr.Pedro Bezerra da Trindade Neto, has its own area within the Hospital, with six outpatientrooms, two wards equipped for surgery and cryosurgery, a cosmiatry ward, one mycologylaboratory, a meeting room, a phototherapy unit, one ward for ulcers and aninfirmary with six beds. Certified in 1999 by the BSD, it <strong>of</strong>fers the <strong>Dermatology</strong> course,practice and theory courses for seventh-period medical students, and theoretical andpractical training for doctors carrying out their medical internships at the clinic and forMedical Doctorate students. The service annually provides two internship vacancies authorizedby the Ministry <strong>of</strong> Education and Culture (MEC). In the last five years, 91% <strong>of</strong> internspassed the exam to obtain the degree <strong>of</strong> specialist from the BSD.At this service, research projects and scientific works in the area <strong>of</strong> bullous90