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1800年奥古斯汀 - 雅各布·兰德雷 - 博韦所描述的原发性无力型痛风:这是类风湿关节炎的首次描述吗?

Primary Asthenic Gout by Augustin-Jacob Landre-Beauvais in 1800: Is this the first description of Rheumatoid Arthritis?

作者信息

Tsoucalas Gregory, Sgantzos Markos

机构信息

Department of History of Medicine.

Anatomy Department, Faculty of Medicine, University of Thessaly, Larissa, Greece.

出版信息

Mediterr J Rheumatol. 2017 Dec 22;28(4):223-226. doi: 10.31138/mjr.28.4.223. eCollection 2017 Dec.

Abstract

Although Alfred Baring Garrod was the physician who introduced the term Rheumatoid Arthritis, it was the French medical student Augustin-Jacob Landre-Beauvais who firstly described the newly appeared type of arthritis. In his opinion, "Goutte Asthénique Primitive", as he named it, affected mostly the poor, with bigger prevalence among women, presenting characteristic capsular swelling, limitation of motion of the joints in the hands and fingers, and development of bony ankylosis with disorganisation of many joints. Landre-Beauvais was known for his empathy towards his patients, an acquired feeling due to his internship under Pinel. His greatest treatise "Séméiotique, ou Traité des signes des maladies" was greatly influenced in its structure by the concept of Corpus Hippocraticum.

摘要

尽管是阿尔弗雷德·巴林·加罗德医生引入了“类风湿性关节炎”这个术语,但首先描述这种新出现的关节炎类型的是法国医科学生奥古斯汀 - 雅各布·兰德雷 - 博韦。在他看来,他所命名的“原发性虚弱性痛风”主要影响穷人,在女性中患病率更高,表现为典型的关节囊肿胀、手部和手指关节活动受限,以及多个关节紊乱并发展为骨性强直。兰德雷 - 博韦以对患者的同理心而闻名,这是他在皮内尔手下实习时获得的一种情感。他最伟大的论著《症状学,或疾病体征论》在结构上深受《希波克拉底文集》概念的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c29/7045995/7dc4e233481e/MJR-28-4-223-g001.jpg

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