Keynan Yoav, Rimar Doron
Department of Medicine, Lady Davis Carmel Medical Center, Technion-lsrael Institute of Technology, Haifa, Israel.
Isr Med Assoc J. 2008 Apr;10(4):256-8.
Reiter's syndrome is an eponym used to denote the triad of arthritis, urethritis and conjunctivitis. This syndrome is named after Hans Conrad Julius Reiter, who was involved in the activities of the Nazi Racial Hygiene Program related to involuntary sterilization, euthanasia and criminal research projects. Reiter defamed the entire medical profession and it was therefore suggested that the term Reiter's syndrome be changed to reactive arthritis. We undertook to investigate the use of the eponym Reiter syndrome in medical literature, medical schools in Israel and medical textbooks, compared to the term reactive arthritis, by searching Medline between the years 2003 and 2007, 14 current medical textbooks, curricula of the four medical schools in Israel, and computerized patient file systems in Israel. We found a decline in the use of the eponym in articles published between 2003 (18%) and 2007 (9%); however, most textbooks (13/14) still use it. Two of the four medical schools in Israel continue to use the eponym. The eponym appears in the computerized patient files of all four healthcare providers in Israel. We hold that the continued use of the eponym Reiter syndrome in medical textbooks, medical schools and computerized patients files in Israel is honoring an abomination and is inconsistent with medical principles. Awareness is still lacking and we suggest deleting the Reiter syndrome eponym from use, and replacing it with the more appropriate term--reactive arthritis.
赖特综合征是一个用以指代关节炎、尿道炎和结膜炎三联征的专用名词。该综合征以汉斯·康拉德·尤利乌斯·赖特命名,他曾参与纳粹种族卫生计划中涉及非自愿绝育、安乐死及犯罪研究项目的活动。赖特诋毁了整个医学行业,因此有人建议将“赖特综合征”这一术语改为反应性关节炎。我们通过检索2003年至2007年间的医学期刊数据库、14本现行医学教科书、以色列四所医学院校的课程设置以及以色列的计算机化患者档案系统,来调查在医学文献、以色列医学院校和医学教科书中,与反应性关节炎这一术语相比,专用名词赖特综合征的使用情况。我们发现,在2003年(18%)至2007年(9%)发表的文章中,该专用名词的使用呈下降趋势;然而,大多数教科书(13/14)仍在使用它。以色列四所医学院校中有两所仍在使用该专用名词。该专用名词出现在以色列所有四个医疗服务提供者的计算机化患者档案中。我们认为,在以色列的医学教科书、医学院校和计算机化患者档案中继续使用赖特综合征这一专用名词是对令人憎恶之事的推崇,与医学原则相悖。目前仍缺乏相关认识,我们建议不再使用赖特综合征这一专用名词,而用更合适的术语——反应性关节炎来取代它。