Thyresson N
Nord Medicinhist Arsb. 1996:21-55.
The history of dermatology may be divided in five periods. The first period, dominated by the humoral doctrine (humoral pathology), extends through the Antiquity, the Middle Ages, the 1600th, 1700th and the major part of the 1800th century. The second period (1775-1840) is characterized by the development of the "dermatological systems" and the third period (1840-1890) by the advances in pathology and microbiology. During the fourth period (1890-1940) dermatology develops into a discipline of medical science. A fifth period started in the middle of the 1940th when the chemotherapeutic and antibiotic drugs and later the glukocorticoids revolutionized dermatological therapy. From this time the advances in especially immunology, genetics, ultrastructural research and molecular biology have also given us a quite new understanding of the pathogenesis of skin diseases.
皮肤病学的历史可分为五个时期。第一个时期以体液学说(体液病理学)为主导,贯穿古代、中世纪、17世纪、18世纪以及19世纪的大部分时间。第二个时期(1775年至1840年)的特点是“皮肤病学体系”的发展,第三个时期(1840年至1890年)则以病理学和微生物学的进展为特征。在第四个时期(1890年至1940年),皮肤病学发展成为一门医学学科。第五个时期始于20世纪40年代中期,当时化学治疗药物、抗生素药物以及后来的糖皮质激素彻底改变了皮肤病学治疗方法。从那时起,尤其是免疫学、遗传学、超微结构研究和分子生物学的进展,也让我们对皮肤病的发病机制有了全新的认识。