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[头皮屑的历史与历史中的头皮屑。向雷蒙德·萨布罗致敬]

[The history of dandruff and dandruff in history. A homage to Raymond Sabouraud].

作者信息

Saint-Léger D

机构信息

Laboratories de l'Oréal, Département de Biophysique, Aulnay-sous-Bois.

出版信息

Ann Dermatol Venereol. 1990;117(1):23-7.

PMID:2181905
Abstract

In one of his books, written at the beginning of this century, Raymond Sabouraud devotes some 280 pages to the history of dandruff. Their reading illustrates how, from the Greeks to Sabouraud's era, this desquamative disease has been subjected to endless doctrinal and scientific conflicts, long before the so-called "present" controversies. One of the early conflicts, between Celsus and Galen, lies in the nature of the squames, i. e. dry or exudating, leading to the inclusion (or non inclusion) or pityriasis in the group of desquamative diseases, such as psoriasis or ichytosis. Translated into Latin (furfur, porrigo) and into Arabic, the word pityriasis was replaced in the Middle Age by tinea which then referred to any disease of the human scalp. With Plenk, Lorry, Willan and others, the 18th century brought a new attitude of mind where observation took precedence over doctrine, but owing to the lack of experimental approach there was no adequate description of the squames and their anatomical origin. This was the case with Hebra who, in the 19th century, claimed that dandruff was nothing but a sebaceous disease. This major turn resulted for decades in a confusion between dandruff and seborrhoea. In the late 19th century, bacteriological studies were decisive steps taken by Rivolta, Malassez and Sabouraud. The presence on scalps affected with dandruff of a bottle-shaped "fungus" (Pityrosporum ovale was initially not regarded as a yeast) was taken as being the definite cause of the disease. The Sabouraud dogma was born, but as early as 1877 it was denied by Vidal who observed these "spores" on healthy scalps.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

雷蒙德·萨布罗在本世纪初所著的一本书中,用了约280页篇幅讲述头皮屑的历史。阅读这些内容可以看出,从希腊人到萨布罗时代,早在所谓的“当下”争议出现之前,这种脱屑性疾病就经历了无数的理论和科学冲突。早期的冲突之一发生在塞尔苏斯和盖伦之间,涉及鳞屑的性质,即干燥的还是渗出性的,这导致了糠疹是否被归入脱屑性疾病组(如银屑病或鱼鳞病)的争议。糠疹这个词被翻译成拉丁文(糠、糠疹)和阿拉伯文后,在中世纪被癣所取代,当时癣指的是人类头皮的任何疾病。18世纪,普伦克、洛里、威兰等人带来了一种新的思维方式,观察优先于理论,但由于缺乏实验方法,对鳞屑及其解剖学起源没有进行充分描述。19世纪的赫布拉就是如此,他声称头皮屑只不过是一种皮脂疾病。这一重大转变导致了几十年里头皮屑和脂溢性皮炎的混淆。19世纪后期,里沃尔塔、马拉塞和萨布罗进行的细菌学研究是决定性的步骤。在有头皮屑的头皮上发现一种瓶状“真菌”(卵圆形糠秕孢子菌最初不被视为酵母)被认为是该病的确切病因。萨布罗教条由此诞生,但早在1877年,维达尔就在健康头皮上观察到了这些“孢子”,从而否定了这一教条。(摘要截取自250字)

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