Friday 23 November 2018

Ancient and Present Era of Rheumatology


Rheumatology: Rheumatology represents a subspecialty in Pediatrics and Internal medicine, which is devoted to sufficient analysis and therapy of rheumatic diseases (including soft tissues, clinical problems in joints, vacuities, heritable connective tissue disorders and Systemic lupus erythematosus). This field is multidisciplinary in nature, which means it relies on close associations with other medical specialties.


T
he specialty of rheumatology has undergone a countless of noteworthy advances in Present years, particularly if we consider the development of state-of-the-art biological drugs with novel targets, made possible by rapid advances in the basic science of musculoskeletal diseases and developed imaging techniques.
History of Rheumatology:
The term “rheuma” can be used back to the 1st century A.D., when it had a meaning similar to the Hippocratic term “catarrhs”. Both of these terms are derived from the term phlegm and refer to substances which flow, which was one of the four major humors. The first known use in English is record in the late 14th century.

Thomas Sydenham was an English physician from the past 17th century, often called “the English Hippocrates”. He introduces the importance of clinical inspection in the practice of medicine, basing his treatment actions on practical experience rather than upon the theories of Galen. He suffered from gout, a difficult form of arthritis, which he managed to explain in detail.
The first clinical explanation of rheumatoid arthritis is accredited to LandrĂ©-Beauvais in 1880. Although the disease appeared like to gout, LandrĂ©-Beauvais pointed out that this infection shows several unique features – namely a chronic course, majority in women, involvement of multiple joints from the onset, and a significant reject in general health.
Key aspects of modern rheumatology

Rheumatology has changed extensively over the last twenty years from mostly inpatient based specialty with poorly effective treatment modalities, to an outpatient based department with targeted and science-based therapies. Still, one basic problem remains, and that is the difficulty of defining the range of illnesses included in this field.
In addition, rheumatology offers miscellaneous prospects for both clinical and scientific research. This field is certainly set to develop even further in the future, as better assessment of disease, improved science, the advance progress of new biomarkers and optimization of drug usage will help address many challenges ahead.
Contact : rheumatologyorthopedicsconf@gmail.com
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