Victor Charles Hanot

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Victor Charles Hanot

Victor Charles Hanot (6 July 1844 – 28 October 1896) was a French physician remembered for his work in the field of hepatology. [1]

Hepatology medical specialty

Hepatology is the branch of medicine that incorporates the study of liver, gallbladder, biliary tree, and pancreas as well as management of their disorders. Although traditionally considered a sub-specialty of gastroenterology, rapid expansion has led in some countries to doctors specializing solely on this area, who are called hepatologists.

He earned his medical doctorate in 1875, and was associated with the Hôpital Saint-Antoine in Paris. He was professor agrégé of general medicine, and editor-in-chief of the Archives generale de médecine. Hanot was considered to be a major influence in the career of Augustin Nicolas Gilbert (1858–1927).

Paris Capital of France

Paris is the capital and most populous city of France, with an area of 105 square kilometres and an official estimated population of 2,140,526 residents as of 1 January 2019. Since the 17th century, Paris has been one of Europe's major centres of finance, diplomacy, commerce, fashion, science, and the arts.

Augustin Nicolas Gilbert French physician

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Hanot specialized in the study of liver diseases, making contributions in his research of cirrhosis and hemochromatosis. He provided a description of primary biliary cirrhosis, a disease sometimes referred to as "Hanot's disease". Among his written works was a study on hypertrophic cirrhosis titled Etude sur une forme de cirrhose hypertrophique du foie (cirrhose hypertrophique avec ictère chronique), (1875). [2]

Liver vital organ in vertebrates and some other animals

The liver, an organ only found in vertebrates, detoxifies various metabolites, synthesizes proteins, and produces biochemicals necessary for digestion. In humans, it is located in the right upper quadrant of the abdomen, below the diaphragm. Its other roles in metabolism include the regulation of glycogen storage, decomposition of red blood cells and the production of hormones.

Cirrhosis long-term disease of the liver

Cirrhosis is a condition in which the liver does not function properly due to long-term damage. This damage is characterized by the replacement of normal liver tissue by scar tissue. Typically, the disease develops slowly over months or years. Early on, there are often no symptoms. As the disease worsens, a person may become tired, weak, itchy, have swelling in the lower legs, develop yellow skin, bruise easily, have fluid build up in the abdomen, or develop spider-like blood vessels on the skin. The fluid build-up in the abdomen may become spontaneously infected. Other serious complications include hepatic encephalopathy, bleeding from dilated veins in the esophagus or dilated stomach veins, and liver cancer. Hepatic encephalopathy results in confusion and may lead to unconsciousness.

He is associated with the eponymous "Troisier-Hanot-Chauffard syndrome", characterized as hypertrophic cirrhosis with skin pigmentation and diabetes mellitus. The syndrome has several other names, such as "primary hemochromatosis", "bronze diabetes", "pigmentary cirrhosis" and "iron overload disease". It is named with two other French physicians, Charles Emile Troisier (1844–1919) and Anatole Chauffard (1855–1932).

Diabetes mellitus a disease characterized by long-term high blood sugar

Diabetes mellitus (DM), commonly known as diabetes, is a group of metabolic disorders characterized by high blood sugar levels over a prolonged period. Symptoms of high blood sugar include frequent urination, increased thirst, and increased hunger. If left untreated, diabetes can cause many complications. Acute complications can include diabetic ketoacidosis, hyperosmolar hyperglycemic state, or death. Serious long-term complications include cardiovascular disease, stroke, chronic kidney disease, foot ulcers, and damage to the eyes.

Anatole Chauffard French internist

Anatole Marie Émile Chauffard was a French internist born in Avignon.

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Cardiomyopathy A heart disease and a myopathy that is characterised by deterioration of the function of the heart muscle

Cardiomyopathy is a group of diseases that affect the heart muscle. Early on there may be few or no symptoms. Some people may have shortness of breath, feel tired, or have swelling of the legs due to heart failure. An irregular heart beat may occur as well as fainting. Those affected are at an increased risk of sudden cardiac death.

Haemochromatosistype 1 autosomal recessive hereditary type of hemochromatosis characterized by excessive intestinal absorption of dietary iron resulting in a pathological increase in total body iron stores. Humans, like most animals, have no means to excrete excess iron.

Iron overload Human disease

Iron overload indicates accumulation of iron in the body from any cause. The most important causes are hereditary haemochromatosis (HHC), a genetic disorder, and transfusional iron overload, which can result from repeated blood transfusions.

Nail clubbing clinical finding

Nail clubbing, also known as digital clubbing, is a deformity of the finger or toe nails associated with a number of diseases, mostly of the heart and lungs. Clubbing for no obvious reason can also occur, but is rare. Hippocrates was the first to formally document clubbing as a sign of disease, and the phenomenon is therefore occasionally called "Hippocratic fingers."

Primary biliary cholangitis liver cirrhosis characterized by chronic and slow progressive destruction of intrahepatic bile ducts

Primary biliary cholangitis (PBC), previously known as primary biliary cirrhosis, is an autoimmune disease of the liver. It results from a slow, progressive destruction of the small bile ducts of the liver, causing bile and other toxins to build up in the liver, a condition called cholestasis. Further slow damage to the liver tissue can lead to scarring, fibrosis, and eventually cirrhosis.

Polyphagia or hyperphagia is excessive hunger or increased appetite.

Reynolds syndrome Reynolds syndrome (RS) is an autoimmune disorder characterized by the association of primary biliary cirrhosis (PBC) with limited cutaneous systemic sclerosis (lcSSc) (see these terms)

Reynolds syndrome is a rare secondary laminopathy, consisting of the combination of primary biliary cirrhosis and progressive systemic sclerosis. In some patients this syndrome has also been associated with Sjögren's syndrome and hemolytic anemia. Typical clinical features include jaundice, elevated blood levels of alkaline phosphatase, calcinosis cutis, telangiectasias, and pruritus. This disease may cause white or yellow-ish spots on the arms or legs. The syndrome, a special case of scleroderma, is named after the American physician, Telfer B. Reynolds, MD (1921–2004), who first described it. He is also known for creating one of the world's first hepatology programs at the University of Southern California.

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History of diabetes aspect of history

Diabetes is one of the first diseases described with an Egyptian manuscript from c. 1500 BC mentioning "too great emptying of the urine." The first described cases are believed to be of type 1 diabetes. Indian physicians around the same time identified the disease and classified it as madhumeha or honey urine noting that the urine would attract ants. The term "diabetes" or "to pass through" was first used in 250 BC by the Greek Apollonius of Memphis. Type 1 and type 2 diabetes were identified as separate conditions for the first time by the Indian physicians Sushruta and Charaka in AD 400-500 with type 1 associated with youth and type 2 with obesity. The term "mellitus" or "from honey" was added by Thomas Willis in the late 1600s to separate the condition from diabetes insipidus which is also associated with frequent urination.

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Jean Troisier

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References

  1. Leslie Thomas Morton; Robert J. Moore (1997). A chronology of medicine and related sciences. Scolar Press. ISBN   978-1-85928-215-1 . Retrieved 20 July 2012.
  2. Minnesota Medical Association (1921). Minnesota medicine. Minnesota Medical Association. pp. 140–. Retrieved 20 July 2012.