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History of medical practice in Illinois - Bushnell Historical Society

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CHAPTER XIVDERMATOLOGYBy B.BARKER BEESON, M.D.*DURINGIntroductionthe period 1850 to 1900, dermatologists were few and far between,and most patients with sk<strong>in</strong> disorders were treated either bygeneral practitioners or it<strong>in</strong>erant physicians. This early scarcity <strong>of</strong> sk<strong>in</strong>specialists <strong>in</strong> Ill<strong>in</strong>ois is not surpris<strong>in</strong>g, s<strong>in</strong>ce dermatology as a specialty wasnot <strong>in</strong>troduced <strong>in</strong>to the United States until 1836, when Dr. Henry DaggettBulkley <strong>of</strong> New York City returned after study<strong>in</strong>g at the famous HopitalSt. Louis <strong>in</strong> Paris <strong>in</strong> the service <strong>of</strong> Biett and Cazenave. S<strong>in</strong>ce dermatology<strong>in</strong> Ill<strong>in</strong>ois was limited for a long time to Chicago, this chapter <strong>in</strong> reality isa resume <strong>of</strong> its history <strong>in</strong> this city.Sk<strong>in</strong> Diseases <strong>in</strong> Early Ill<strong>in</strong>oisThe sk<strong>in</strong> diseases recognized <strong>in</strong> Ill<strong>in</strong>ois dur<strong>in</strong>g the period 1850 to 1900were similar to those <strong>of</strong> today except<strong>in</strong>g those which newer diagnosticmethods have identified s<strong>in</strong>ce that time. Much pert<strong>in</strong>ent <strong>in</strong>formation regard<strong>in</strong>gthe early sk<strong>in</strong> disorders can be found <strong>in</strong> the first edition <strong>of</strong> JamesNev<strong>in</strong>s Hyde's volume on sk<strong>in</strong> diseases and <strong>in</strong> his other early papers. Hisorig<strong>in</strong>al book appeared <strong>in</strong> 1883, and the last one (<strong>of</strong> the past century) waspublished <strong>in</strong>1897. Hyde adhered to Hebra's n<strong>in</strong>e classes <strong>of</strong> sk<strong>in</strong> disease:disorders <strong>of</strong> secretion; hyperemias; exudations; hemorrhages; hypertrophies;atrophies; new growths; neuroses, and parasitic disorders.Among the common sk<strong>in</strong> diseases <strong>of</strong> this region mentioned by Hyde werepruritus, urticaria, eczema, acne vulgaris, herpes simplex, herpes zoster,impetigo contagiosa, t<strong>in</strong>ea versicolor, the nevi; r<strong>in</strong>gworm <strong>of</strong> the scalp,beard and glabrous sk<strong>in</strong>; scabies, pediculosis, erythema multiforme, lupuserythematodes, erythema <strong>in</strong>tertrigo, epithelioma, and the syphilides.The less common sk<strong>in</strong> diseases were lupus vulgaris, scleroderma,morphea, leprosy, pemphigus, dermatitis herpetiformis, pityriasis rubrapilaris, mycetoma, mycosis fungoides, sarcoma cutis, a<strong>in</strong>hum, and pellagra.* Dr. Beeson graduated <strong>in</strong> 1906 from the University <strong>of</strong> Ill<strong>in</strong>ois College <strong>of</strong> Medic<strong>in</strong>e.At present he is Pr<strong>of</strong>essor Emeritus <strong>of</strong> Dermatology and Syphilology <strong>of</strong> Loyola MedicalSchool <strong>in</strong> Chicago. Formerly he was an attend<strong>in</strong>g dermatologist at the Cook CountyHospital and Consult<strong>in</strong>g Dermatologist at several other city and state hospitals. He holdsmembership, honorary or correspond<strong>in</strong>g, <strong>in</strong> several foreign <strong>medical</strong> societies. He haswritten for publication a number <strong>of</strong> history papers for local and <strong>medical</strong> journals.—Editor306

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