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Introduction - Uppsala Monitoring Centre

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1497 Syphilis broke out for the first time in an epidemic fashion during the<br />

1496 siege of Naples by Carlo VIII, King of France. Gaspare<br />

Torella(c1452–1520), a Spanish physician to Pope Alexander VI,<br />

wrote in November 1497 ‘Tractatus cum consiliis contra<br />

Pudendagram, seu morbum Gallicum’ [A work with descriptions of<br />

syphilis, or the French disease] referring to the disease as<br />

‘pudendagra’ 49 and described five cases treated with mercurial<br />

ointment (Waugh, 1982). He said that syphilis was known in Avignon<br />

in 1493 and also that he relied on mercurial ointment for its<br />

treatment, but later on he rejected it. Until Italy was a leading nation,<br />

syphilis was called ‘French disease’, but when Italy declined, the<br />

French appellation: ‘Neapolitan illness’ prevailed<br />

(http://pacs.unica.it/biblio/lesson2.htm) accessed 15 th November<br />

2009. Other synonyms: ‘Morbus gallicus’. There is some evidence<br />

that syphilis was present in Asia Minor prior to 1412. There were nine<br />

tracts published in Latin on syphilis between 1495 and 1498<br />

(Sudhoff, 1925).<br />

1497 Alessandro Benedetti (1460–1525 or?1450–1512), a professor of<br />

anatomy and surgery at Padua, described shaking, paralysis and<br />

loss of teeth with mercury (Quétel, 1992).<br />

1498 The first official European Pharmacopoeia ‘Nuovo Receptario<br />

composto dal famossisimo chollegio degli eximii doctori dell arte et<br />

medicina della inclita cipta di Firenze: Impresso Nella inclyta Cipta di<br />

Firenze per la Compagnia del Dragho; 1498.’ [New recipe book<br />

composed by the most famous college of the distinguished doctors<br />

of the art and medicine of the illustrious chapter of Florence, by the<br />

Florentine Guild of Physicians and Pharmacists.] It acknowledges<br />

many previous authors, e.g. Mesue, Nicholas, Avicenna and Galen.<br />

It covers all sorts of things used as medication: metals, viscere and<br />

flesh of animals, salts, and precious stones. The universal panacea –<br />

Mithridato contains 109 ingredients including laudanum 50 . There is<br />

no mention of ADRs.<br />

Francisco Lopez de Villalobos, author of ‘Sumaria de la medicina en<br />

romance trovado con un tractado sobre las pestiferas ‘bubas’; [‘Sur<br />

les contageuses et maudites bubas histoire et médecine<br />

Salamanque’]; [With an account of harmful swellings, and an account<br />

49 Pudendagra =syphilis<br />

50 Laudanum = tincture of opium

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