Fall issue 2002 - N°4

EADV Leadership Executive Committee Officers : Martin Black (UK) President Jose M. Mascarò (E) Past President Welcome to Jean-Hilaire Saurat (CH) President-Elect Frank Powell (IRL) Secretary General Welcome to the Home of Jacques Delescluse (B) Treasurer Jana Hercogová (Czech) President 11th Congress 2002 Czech Dermatology! Mario Lecha (E) President 12th Congress 2003 JEADV Editors : Congress President Prof. Jana Torello Lotti (I) Editor Dermatology Hercogová, Honorary President Derek Freedman (IRL) Editor Venereology Prof.Vladímir Resl and Jean-Paul Ortonne (F)

Editor-Elect Vice-President Prof.Jaroslav Board of Directors : ^ Ove Bäck (S) Simon Barton (UK) Strejcek, hosts of the 11th EADV Christine Birringer (LUX) Martin Black (UK) Congress, welcome you to Prague. Luca Borradori (CH) John Bourke (IRL) Ole Christensen (N) rague, capital of the Czech Jose Diaz Perez (E) Republic, is an amazing and Yves Dinet (B) P Harald Gollnick (D) incredibly beautiful city, replete with Jana Hercogová (Czech) Michael Hornstein (D) architectural wonders as well as artistic Jacques Houset (F) Dimitris Ioannides (GR) treasures. The Congress is held in the Finn Kjaer Jacobsen (DK) only meetings with "international Pascal Joly (F) newly reconstructed Congress Centre Giorgio Landi (I) Prague, which combines the conve- participation". These were meetings Mario Lecha (E) Josè M. Mascarò (E) nience of its city centre location with a in which some colleagues from the Jon Hjaltalin Olafsson (IS) Joe Pace (Malta) stunning panoramic view over Prague. Eastern block participated and only Maria Zaoura Petranyi (CY) rarely did colleagues from Western Antonio Picoto (P) Alfredo Rebora (I) countries visit. The only exception Dimitrios Rigopoulos (GR) International Jean-Hilaire Saurat (CH) was the IInd Dermatological Raimo Suhonen (FIN) Meetings in Prague Kristian Thestrup-Pedersen (DK) Symposium "De Structura et Erwin Tschachler (AUS) At the beginning of 20th century, Willem Van Vloten (NL) Functione Stratorum Epidermis S. D. Staff : Prague was a city of international Barrierae" held in Brno, capital of Administrative Officer dermatology meetings. June 1889 Els Vanpee Moravia. Administrative Assistant saw the 1st Congress of the German Tanja Seppälä Dermatological Society in Prague The Velvet revolution (17 November (two months before the first interna- Inside this edition 1989) brought sunshine to our lives, Letter from the President ...... Page 2 tional congress in Paris), organised by both personal and professional. Since EADV to Elect President at OGM ...... Page 3 F. Pick. In 1934, the IIIrd Meeting of then each of us has been trying hard News from around the Dermatology Globe .Page 4 Slavic Dermatologists was organised Mozart: in Prague . . . . .Page 7 to enter Europe again, even though Frantz Kafka and Medicine ...... Page 8 by F. Šamberger (Fig 1, Page 7). we never really left it. Individuals Highlights of the 11th EADV Congress . .Page 10 Call for Action ...... Page 12 started their own private practice Book Review ...... Page 13 However, during the occupation by (nowadays about 90% of all 700 Moriz Kaposi ...... Page 16 the Soviet army, no international der- First EADV Spring Symposium ...... Page 18 dermatologists are private doctors). Update from the Secretary General . . . .Page 20 matological meetings were held in Everybody was focused with enthusi- our country. At this time, there were asm on new possibilities, new equip- ment, and new drugs that had not been available until that time. Hardly anyone was interested in what col- leagues were doing, regular meetings of the Czech Dermatological Society did not continue. >>> continued on page 6 2

Letter from the President

Welcome to the 11th Congress of the EADV which is being held in Prague this week. We have all been looking forward to this event for some time. I know that you will be enchanted with Prague, an incredibly beautiful city of charm and culture. Jana Hercogová and her team have laid on a superb scientific and cultural programme that will make your visit unforgettable!

Earlier this year, I launched a membership drive under the theme 'Dermatologists and Venereologists from across Europe come together'. Our vision is to develop the EADV to its full potential, advance quality patient care and provide continuing medical education and advocacy on behalf of both the speciality and our patients.

As we meet in Prague now, it is worth remembering that for many years, Europe and its med- ical specialities remained politically and culturally divided. The collapse of the Berlin wall in 1989 soon led to the 'spontaneous' liberation of Prague and the Czech Republic as well as Martin Black (President EADV) con- gratulates Jean Revuz (President of other countries. Within a short time, the potential to unite Europe was there, and the EADV the 20th World Congress of is working hard to encourage and support our 'Eastern European' colleagues in developing Dermatology) on the huge success of the Meeting in Paris. our speciality. From now on, we do not need to differentiate between Western and Eastern Europe - we are all one Europe working in harmony and keen to help each other.

This has indeed been quite a year for Dermatology. The Opening Ceremony of the EADV House in Brussels was attended by over 150 dermatologists and their spouses. We now have the capacity to make Brussels the very hub of European Dermatovenereology and develop the EADV as the premier Dermatovenereology association. We are also developing ever- closer links and co-operation with the UEMS, ESDR and EDF. At the same time, the American Academy of Dermatology (AAD) has also moved into brand new larger headquarters in the Chicago area. These openings clearly show the growth and development of our speciality in America and Europe. Martin Black chats with the new incoming President of the ILDS, Robin The 20th World Congress of Dermatology held in Paris in the first week of July was an out- Marks and his wife, Margaret. standing success. The attendance appeared to be an all time record, with some 11.000 dermatologists attending, representing 126 countries. The cool, windy, and at times, wet weather, undoubtedly helped to swell attendance at all the scientific sessions in the Palais des Congrès! Who will ever forget the 'feast' in Montmartre in which the delegates took over the entire village of Montmartre for the evening. The rain let up and an excellent time was had by all. A special thank you goes to Jean Revuz, Congress President; Jean-Paul Ortonne, Secretary General; Louis Dubertret, Vice President and the Société Française de Dermatologie (President: Michel le Maitre) ,who worked tirelessly together to produce such an outstanding success.

As I conclude my Presidency of the EADV here at the Prague Congress, I am heartily encour- aged to see that the EADV is going forward in such a positive manner. Your President is given a warm wel- Our Congresses become ever larger and more successful, the first Spring Symposium awaits come to Montmartre! us in Malta next Spring; the JEADV steadily increases its impact factor and more of you appre- ciate what the EADV offers and stands for.

To all of you who have helped me in my term of office and have helped the EADV, a very special thank you.

Professor Martin M. Black Other delegates receive an equally warm welcome. President 2000-2002 3 EADV Members to Elect President at OGM In the last edition of EADV News we announced the Call for Nominations for President-Elect. As a result of the nomination process, the EADV is now very privileged to have two of the leading figures in European Dermato-venereology going forward for election as President- Elect at the OGM in Prague.

The successful candidate will take up office at the end of the 11th Congress in Prague when Jean-Hilaire Saurat becomes EADV President. Dr. Johannes Ring Prof. Torello Lotti

Statement of Intent Statement of Intent

Dermato-venereology in Europe is facing Where is the EADV now? increasing problems such as growing economic The primary role of the EADV is to promote pressure with trends to "gatekeeper" medicine advances in the practice of dermatology and and against specialists, increasing competition from neighbouring venereology throughout Europe. It does this by providing CME specialties, heterogeneity in education and training in different at the highest academic level. This is a result of the untiring European countries and a poor financial situation in Eastern efforts of its members, who generously share their knowledge in Europe. various educational activities such as its annual congress and its journal. EADV is the society where the tremendous work at different levels should be co-ordinated in close co-operation with national Where do we need to go in the future? and other European societies, specialty groups and lay organisations. ❚ Harmonise and optimise educational activities and the prac- tice of dermato-venereology throughout Europe. Dermato-venereology must not become a "consultant specialty"! ❚ Transcend geographic bounders to give a stronger identity to In the future, the EADV should focus - not only on education, European dermato-venereology. with increasingly well-attended and informative congresses in How can we get there? the excellent tradition of the past - but also on: ❚ Allow European dermato-venereologists to critically evaluate ❚ harmonisation and improvement of education and training (in their clinical practice and to participate in the democratic co-operation with UEMS) development of dermato-venereology. ❚ supporting exchange programmes for residents and postdocs ❚ Use EADV funds to improve and harmonise scholarship pro- ❚ supporting research (maybe via a foundation) grammes that involve young physicians from all European ❚ further improving our journal (JEADV) countries. ❚ lobby work for our specialty in Brussels (here our new house ❚ Embrace evolving technology including telemedicine to con- will be very helpful). nect colleagues and provide better service to patients. In order to achieve these goals, the structure of the EADV will ❚ Encourage members to participate in EADV activities and need continuous evolution, for example through the introduction share their special knowledge and skills with their colleagues. of committees and task forces for various general and very spe- cific topics. We encourage all members to attend the OGM. Our specialty will survive and grow in strength only if we join all Ordinary and Honorary Members are entitled to vote forces from all parts of Europe, from all our subspecialties and and will receive their voting cards at the entry to the from all levels of dermatological competence in practice, OGM room. Please come early to avoid congestion research, industry and university teaching. and delay! The OGM will be held on Friday, 4 October, 2nd Therefore, we need many more members who are willing to Floor, Forum Hall. Registration from 12:00 -13:00, actively participate in the daily work of our Academy for a OGM from 13:00 -14:00. strong European Dermato-venereology!

The EADV strongly disapproves of canvassing for candidates. Members should disregard any such canvassing and vote for the candidate that they feel will best represent the ideals of the EADV. 4

News from Around the As part of the Academy's on-going relationships with other societies, EADV News brings you up-to-date on news, views and activities from across the globe. 20th World Congress a total of 8 hours congress atten- intravenously or intra-muscularly. of Dermatology dees were able to hear something Preliminary results from this new new about all manner of disci- approach show high tolerance and For the first time since plines. induce long remission. Berlin in 1987, Europe played host to the I cannot possibly do justice to the Skin cancer World Congress of extensive five-day programme in a New developments in topical Dermatology in July, short newsletter review but would immuno suppressants (tacrolimus in Paris. The largest der- like to share with you some of the and pimecrolimus) now provide an matology gathering ever new findings that were revealed in alternative to topical steroids. held, the 20th edition united some Paris and which I feel to be of par- Imiquimod has been available for a 11.000 dermatologists and ticular interest. number of years for treating warts, venereologists from around the but it now appears that this modi- world. For EADV members who Atopic dermatitis fies epidermis and is highly efficient were unable to participate, Prof. Extensive discussion took place in treating pre-cancerous and can- Jean-Paul Ortonne, Secretary about atopic dermatitis and why it cerous lesions of the skin. So for General of the Congress, and is increasing in developed, industri- the first time we heard that cream future Editor of the JEADV, pro- alised countries. The IGN theory is available to treat skin cancer. vides a short overview of just attributes this to the fact that some of the scientific revelations. babies in developed countries are Angiomas "over protected" from infection In his plenary session on ne of our initiatives for through modern care and hygiene Antiangiogenic Strategies, Dr. P. O Paris, a new development and therefore do not develop a Carmeliet provided us with fasci- for the World Congress, was a sophisticated immune system. nating insight into angiomas, how 'What's New' track within the they occur and how to treat them. Psoriasis Scientific Programme. The idea His explanations also presented us was to offer delegates an execu- New treatments (biologics) for with a clearer understanding of the tive overview of new develop- psoriasis was another key finding use of various genes and protein in ments in the profession within the presented. These new treatments, the genesis of new blood vessels. which focus on blocking the shortest possible time. Each ses- >>> continued on page 15 sion was 2 hours over 4 days, so in immune system, are administered

Research Fellowships in Berlin The Center of Experimental The Center is embedded in Interested candidates and Applied Cutaneous the Department of should send their CV and a Physiology (CCP), Dermatology and has a high statement of research interest, Department of Dermatology number of national and inter- by no later than 31 October and Allergy, University national collaborations. The 2002, to Prof. Dr. Ulrike Hospital Charité, Humboldt successful applications will Blume-Peytavi / Prof. Dr. University of Berlin invites join a group of scientists with Jurgen Landemann, CCP, applications for 2 research fel- basic research on skin and Dept. of Dermatology, uni- lowship positions for the dura- hair physiology as well as versity Medical Center tion of two years. The candi- skin penetration and sig- Charité, Humboldt university dates will have the possibility nalling pathways. The suc- of Berlin, Schumannstr. of working in an international cessful candidates are expect- 20/21, D-10117 Berlin, team of research scientists on ed to start as of 1 January Germany. skin and hair physiology. 2003. 5

Dermatology Globe Young Dermatologist The UEMS Section of A permanent address Travel Awards - 2003 In early April, the EADV President, Dermatology & The International Society of Dermatology will Prof. Martin Black and I met to dis- award 10 Travel Awards to young dermato- Venereology cuss the various facilities that the logists who are presenting papers at the ISD and the EADV House EADV House might offer our Section Regional Meeting in Bangkok, Thailand, 12-15 DV and its European Board (of which Dr. Hendrik J. July 2003. The meeting is co-sponsored by the the EADV, ESDR and EDF are also Hulsebosch, Thai Society of Cosmetic Dermatology and members). Thanks to this EADV ini- President of the Surgery. tiative, we are now delighted to have UEMS Section of a permanent address for the Section Dermatology & The Travel Awards are designed to help young and the European Board, indepen- Venereology dermatologists become leaders in the field of dent of changes in the position of reviews new col- dermatology and foster the global exchange of our honorary secretary. Not only laboration and knowledge. Dermatologists under the age of does this facilitate contact, it also initiatives between the EADV and 35 years who are dermatology residents, der- provides a home to our ever- the European Union of Medical matology fellows, or dermatology junior increasing volume of archives. Specialists (UEMS). faculty members are eligible. Each recipient will receive a $1.000 (US) award to help defray n acquiring the EADV House in Central location, costs of travel. central communiction I Brussels, the Academy was taking Abstracts and applications must be submitted by The excellent meeting facilities at the the first step towards realising a 31 January 2003. For further information visit EADV House, together with its cen- dream - to establish a Home for www.intsocdermatol.org or contact the ISD at tral location, are also very attractive European Dermatology - by inviting 1-847-330-9830, [email protected]. other European dermato-venereolo- allowing sub-groups of the Section DV and the European Board to meet gy organisations to make use of it in Young Dermatologist addition to the EADV. The UEMS in comfort, in the heart of Europe. Section of Dermatology and Furthermore, the EADV will soon Scholarships Venereology (Section DV) was one install a database system that could of the organisations that was also be used for the membership The International Society of Dermatology will approached. We were told that we administration of other societies. award 10 Scholarships to attend the ISD IX were especially welcome because the From our part, we could help to build International Congress of Dermatology, which roots of the EADV can be found in this up-to-date, central database will be held in Beijing (China), 19-22 May the UEMS Section DV. In fact a with the contacts of the national der- 2004. mato-venereology societies. Last group of enthusiast delegates of the The ISD Scholarships provide total financial but not least, co-operation on the UEMS Section DV founded the support (travel expenses, hotel accommoda- World Wide Web is an exciting pos- Academy in 1987. Their names can tion and registration fee) to sibility with the linking of web-sites be found in the list of founding dermatologists/venereologists under the age and up-to-date information. members of the EADV. After the of 35, appointed by their national dermatology Collaboration between the EADV establishment of the EADV, however, society to attend the educational activities of and the UEMS Section and the a distance grew up between our two the International Congress of Dermatology. European Board of DV in the EADV organisations and we went our sepa- Priority will be given to candidates from devel- House offers many interesting rate ways. Now, our paths are once oping countries for six of the 10 scholarships. again converging and the UEMS prospects. Section DV has gladly accepted the To enter the competition, interested candidates invitation to make use of the EADV EADV News would like to thank should submit a CV (1 page maximum) and a House. Hendrik J. Hulsebosch for his contri- letter of endorsement from the President or bution. Secretary-General of the candidate's national dermatologic society. For further information visit www.intsocdermatol.org or contact the ISD at 1-847-330-9830, [email protected]. 6

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eties and a member of the "Societé Internationale de Dermatologie et Syphilidologie" committee. He was also the first president of the Czechoslovak Society of Dermatology and a rector of Charles University. He published the first Fig. 3 Czech textbook of dermatology and venereology (4 volumes) and Czech dermatology has a long- described acanthosis nigricans in lasting tradition, its roots go back 1890 (one year before Pollizer). to the 19th century. The first department of dermatology, The first chair of the German part, located in the General Hospital in the leading dermatology depart- Prague (Fig.3), was devoted to ment of the German speaking "luetic diseases" and was opened Fig. 2 countries, was F. Pick (he founded in 1847 under the chairmanship of "Archiv fur Dermatologie und J. Valter in Prague. So in 1995 our university depart- Syphilis" in 1869 together with H. ment, which belongs to the Auspitz from Vienna). In October 1883, Charles Charles University, one of the old- University was divided into two est universities in Europe, decided So, the history of Czech dermato- parts - a Czech part and a German to found a new tradition. Since logy was influenced by German one. The first chair of the Czech then, we have been organising the and Austrian dermatology, as we part was V. Weiss (first dean of the "Prague Dermatological Meeting" belonged to the same Empire, and Czech University), replaced by the every year. In 1998, we celebrated by Slovak dermatology as well. founder of Czech dermatology the 650th anniversary of Charles Since 1 January 1993 our school, V. Janovský (Fig 4). University and were delighted to Czechoslovakia has been divided Janovský was a member of 17 organise the 4th Prague into two parts, the Czech Republic international dermatological soci- Dermatological Meeting (Fig. 2) as a joint meeting with the International Society of Landmarks in the History of Dermatology (50 out of 302 par- Czech Dermatology ticipants were foreigners from 11 1847 1st department of dermatology opened in Prague's General countries). Hospital

And now, the greatest opportunity 1862 Society of Czech Medical Doctors founded for us: the EADV Congress in 1883 Charles University divided in two (Czech & German) Prague! 1922 The Czech Society of Dermatology & Venereology was founded

Czech Dermatology 1934 3rd Meeting of Slavic Dermatologists in Prague and Europe 1989 The Velvet Revolution opened doors for Czech dermatology The Czech Society of Dermatology and Venereology was founded in 1993 Czechoslovakia becomes Czech Republic & Slovak Republic Brno at the Department of 1995 1st Prague Dermatological Meeting Dermatology of the University Hospital on 30 December 1922 by 1998 650th Anniversary of Charles University V. Janovský (first president), A. 2002 11th EADV Congress in Prague Trýb (chair in Brno), F. Šamberger (chair in Prague) and V. Reinsberg 80th Anniversary of Czech Society of Dermatology & Venereology (chair in Bratislava). 7

gland in human and skin grooves, thus was born in Brno and H. Auspitz was born founding dactyloscopy, and introduced in Mikulov. Canadian balsam in histology. Purkyne also In 90 days time, Czech Dermatology will founded "Spolek lékaru ceských" (Society celebrate its 80th anniversary! What bet- of Czech Medical Doctors) in 1862. To this ter way to celebrate this historical event day, all medical associations still belong to than to host international dermatological this central organisation. J. Wolf developed colleagues in our country! the original stripping method for the study of skin surface morphology, and J. Král dis- Fig 1: F. Šamberger, Fig 4: V. Janovský Enjoy Prague with us, despite the fact that covered urocanic acid in human sweat. the Gods sent us floods 6 weeks ago! Three Czech colleagues gave names to and the Slovak Republic (but we still share some disorders: Hermanský and Pudlák Yours, the same dermatological journal). described a type of albinism and Bednár published on the storiform neurofibromas Prof. Jana Hercogová, MD On the other hand, dermatology in the of the skin. F. Král was a founder of veteri- President - 11th EADV Congress Czech Republic has also influenced nary dermatology. Many more famous der- Prof. Vladimír Resl, MD European dermatology. Some brilliant matologists were born in the Czech Honorary President - 11th EADV Congress Czech colleagues were responsible for Republic. To cite just some: K. Rokitanský, some 'first' observations in dermatology. J. pathologist was born in Hradec Králové, Prof. Jaroslav Strejcek,^ MD E. Purkyne (1787 - 1869) described sweat internist J. Škoda in Pilsen, F. von Hebra Vice-President - 11th EADV Congress MOZART: The Première of DON GIOVANNI in Prague

diately contacted Lorenzo da Ponte, the tion". The Emperor judged the opera "too author of the libretto for FIGARO and strong for the Viennese" and it appeared together they excogitated the enticing sub- to be abandoned for a period, only to ject of the licentious seducer Don Giovanni return to favour with force in the 19th cen- Tenorio, a popular old story, practically a tury and it has been continuously present- myth that had tempted many other artists, ed, often triumphantly, since then. Since including Molière and Goldoni. its very first staging this opera has been talked about and instigated an almost infi- On 1 October of that same year, 1787, nite number of comments, including Mozart returned to Prague with most of observations by Kierkegaard, Goethe, the score already written; he wanted to Flaubert, and Lamartine. adapt it to the singers (most were Italian - Luigi Bassi was Don Giovanni and Felice It has been said, presumably according to Ponzani was Leporello) and help them Stendhal, that Mozart composed the music enter into their parts. The première, at the of the ouverture the night before the ozart loved Prague and Prague Nationaltheater on 29 October 1787, was opening performance assisted by his wife, M loved and still loves Mozart: a a triumph; supposedly in the audience who had prepared him a punch that made strong, reciprocal love. The enthusiasm for there was even Giacomo Casanova, the him sleepy and who then helped keep him the symphony K504 in D (PRAGUE) and mythical seducer in person. The complete awake by telling funny stories. In any (17 January title of the opera (K 527) was DON GIO- case, the next day that page of magnificent 1787) earned him 1000 florins and the VANNI OR THE RAKE PUNISHED. music was miraculously ready! commission to write an opera for the fol- lowing season. A year later DON GIOVANNI was per- EADV News would like to thank Prof. formed in Vienna, but with some changes Emiliano Panconesi for this contribution. When he returned to Vienna Mozart imme- that led to talk about the "Viennese edi- 8 The Great Visionary Realist

As European dermato- young Franz Kafka continues to venereologists meet in provide other details of specific Prague for the 11th interest to us: "a slight itching on the upper part of his belly… and EADV Annual Congress, the point that itched was com- Prof. Emiliano pletely covered with little white Panconesi pays tribute spots, that he didn't know what to think of; he tried to touch it with a to the great Franz leg, but pulled it back because at Kafka, born in Prague the first contact he was invaded by on 3 July 1883. a chill." He tries to respond to his mother who urged him to get up, regor Samsa, upon awak- but he hears his own voice mixed “G ening one morning after a with a "painful, uncontainable night of agitated dreams, found chirp that left the words under- himself transformed, there in his standable only at the beginning, bed, into an enormous, disgusting because they then became so con- insect". This is perhaps the most founded by an echo that it was ages to turn the key with his significant sentence in literature doubtful that they could be under- mouth and notices that a sort of that can be extended to represent stood." He feels himself, and then brown liquid comes out… both Self and Body Image in our sees himself, "unbelievably large" dermatology patients carried to - an observation/sensation/feel- Though the window he sees, with the extreme of the course and ing not uncommon in our patients the increasing morning light, the total diffusion of an affection. - and covered with a sort of "little dark grey wall of a sanatorium (a insect-like legs that moved con- place that Kafka knew so well and It was not by chance that this sen- stantly in all directions and that, was to continue to frequent tence opens and seems to contain furthermore, he was unable to because of his tuberculosis) and and conclude the entire magnifi- command… " He tries to move, through the open doorway of the cent story, DIE VERWANDLUNG but hits against the bed and feels house he sees the landing and the (METAMORPHOSIS), written by "acute pain". He tries to stay stairs, inaccessible. Without pass- one of the most The dermatology calm, at any cost. ing through the doorway, (he famous writers of patient, in fact, often His back has promises) that he will go, just as our times, Franz feels more or less become hard… He soon as he can, to his difficult job Kafka of Prague. transformed into a hears the arrival of (travelling salesman); his mother The experienced sort of intolerable his superior, the sees him and runs off yelling for dermatologist managing agent, help … and the manager, whom metamorphosis. who reflects will who saw that he Gregor had managed to reach, find in this story an exasperating had not arrived at work on time. flees down the stairs; his father globalised combination of frag- He jumps out of bed, and hits his tries to push Gregor away, force- ments of the emotional, existen- head… and refuses to open the fully with the help of a stick. tial, illusionary and dysmorpho- door. From the rug, where he is Gregor has difficulty in backing phobic perceptions, sensations, lying, he listens to the other: he off, the door of the room has and self-observations of certain hears his sister crying and the solic- become too narrow for him and he (and not few) patients. itations of the manager, but he scrapes his side leaving "ugly remains closed in and yells that he marks" on the door. His father's Metamorphosis isn't well … that he will go out last blow pushes him, bleeding, The dermatology patient, in fact, later … There beyond the wall into the bedroom, and the door is often feels more or less trans- Gregor's voice sounds like that of closed with a stick. (How many formed into a sort of intolerable an animal to the manager. Gregor times have we wondered if the rel- metamorphosis. As the story sees a sticky substance oozing atives of an uncontrollable or inde- unfolds the descriptive art of the from one of his little legs. He man- cent patient act like that?). 9

Franz Kafka and Medicine

So much for the first chapter. In the second pink, darker at the centre, lighter towards rific Gothic atmosphere; the descriptions and third chapters, after a sleep that was the edge, slightly granular, with patches of are fully detailed and perfect. One is practically a swoon, the poor "creature" clotted blood, open like the entrance to a reminded of the comments of illustrious awakes in the dark lying on the floor and, mine. That was what it looked like from critics about this great writer. His works do rather than seeing it, he has the sensation afar. But close-up it appeared even more not resemble those of anyone else: he was that on his left side there is already a long serious. And how to look at it without neither an impressionist nor an expression- scar (that couldn't have formed in such a gasping? Worms, long and fat like my lit- ist. He could be defined as a visionary short time!) that pulls his skin painfully. tle finger, pinkish on their own and realist, and the two stories cited suggest Everything seems to be stabilising without squirted with blood, squirmed around precisely such. further evolution or provisions: a sensation inside the wound, with their little white that could seem to refer to that experi- heads and numerous little legs (sic!), aim- Franz Kafka - enced by a patient, dermatological or other, ing at the light." A terrible, obsessively the man, his life who closes himself into the reality of a dis- precise description; the presence of some Franz Kafka was born in Prague on 3 July ease that envelops him. The story contin- improbable details is of little importance, 1883, in the building ZUM TURM on the ues, but we will not tell you any more; we and is not uncommon in Kafka's writings. Altstädter Ring at the corner of Maiselgasse invite you to read or re-read it for yourself. and Karpfengasse on the edge of the The doctor's comment, "poor boy, no-one Prague ghetto (Josefov). His family com- A Country Doctor can help you," is followed by the consider- prised his father Hermann, a merchant of ation that these people have lost their old Another important quotation, of the many mercery and hardware, his mother, Julie faith and expect the doctor to do every- possible, comes from the story A Löwy, and three sisters, all younger than thing, to "provide for everything" even an COUNTRY DOCTOR (EIN LANDARZT, Franz. His favourite was Ottla, born in old country doctor (sic!), alone without his written between 1914 and 1917). Far 1892. Franz Kafka completed all his maid. Then, as if in an "imaginary vision" from being a sketch-like description based studies in Prague, first at the Fleischmarkt from the middle ages, comes the sound of on memories (Kafka's uncle Siegfried Löwy elementary school, then the Staats- a children's choir singing: "Undress him was a country doctor in Moravia), this story Gymnasium (1893-1901) at the Kinsky and he'll cure If he doesn't, kill him! He is is shorter than THE METAMORPHOSIS, Palace and finally at the Deutsche only a doctor, he is only a doctor…" And but it is equally amazing and hallucinating. Universität (1901-1906) where he studied that is what happens: the doctor is first chemistry, then German language and undressed and put in the bed between the The protagonist, who has to make an literature, and finally law, taking his degree patient (on the wound side) and the wall, urgent house-call in the midst of thick in law. sleet, manages with difficulty to find hors- and silence ensues. The patient tells him of his low expectations … he says he was born es for his carriage and has to leave his On 23 October 1902 he met Max Brod, with the wound… but the doctor denies it, young maid, Rose, with the unreliable man who was to be his great life-long friend, at saying that the wound was caused by two who has lent him the horses. Strangely, a lecture by Brod on Schopenhauer and strikes with an axe… in the woods… per- when he arrives just a few kilometres away Nietzsche. He wrote the first draft of his haps even without the boy realising it. there is no sleet and the farmhouse is first story DESCRIPTION OF A BATTLE enveloped in moonlight. The air in the (BESCHREIBUNG EINES KAMPFES) in The story moves toward its conclusion: the bedroom is sickly, the young patient, thin 1904-1905. In 1907 he was hired as an doctor manages to escape with his clothes with dull eyes, "grasps the doctor by the auxiliary by the Prague General Insurance in his hands … he may never return home neck" and whispers "Doctor, let me die." company and in 1908 he went to work for … he has lost everything … he is in the The horses open the windows with a toss the Bohemian Kingdom's Institute for snow "in a carriage that really existed, of their heads, as if they want to see inside, Accident Insurance. Also, in quick summa- pulled by unreal horses… I wander and the doctor has tormented thoughts of ry: his first love experience was while he around, poor old man … No-one moves a Rose left in the hands of the stable-man was in the Zuckmantel (Schlesien) sanato- finger…". It ends with "once one has and thinks that he "would like to die…" rium, he travelled to Italy, Lugano, Paris answered a false alarm (but there was He wants desperately to leave, but he is and Berlin, read Flaubert, one of his nothing at the beginning to make him surrounded by the boy's family ("the sister favourite writers, and he was very realise that it was false!) … at the night shakes a heavy, blood-soaked towel"). He interested in Yiddish culture and psycho- bell… there is no remedy." finally examines the boy and sees "on his analysis. right side, on the hip, an open wound, the size of a hand, coloured various shades of Linguistic precision is never lost in the hor- >>> continued on page 14 10

Highlights of the 11th EA

To familiarise you EADV Goes East us - never has flooding in Prague with the 11th EADV This is the first EADV Congress to reached such strength as in August Congress and so take place in a county in the for- and the most romantic parts of that you enjoy it all mer 'Soviet block'. Until 1999, the Prague by Vltava river (Kampa the more, Congress EADV was largely a western ori- island) have been destroyed. Rest President Prof. Jana ented dermatological society. At assured, however, this natural dis- Hercogová intro- that time, a key decision was taken aster will have no affect on our duces some of the during the 8th EADV Congress in great event. highlights. Amsterdam when the Academy decided to 'go East'. Prague was Back to the numbers, they are s you know, EADV selected as the venue for today's amazing! Registrations have been A Congresses have reached the congress winning over Riga and received from all over the world. highest scientific and academic Malta. It was the first victory. By August, 3.000 participants had level. Nevertheless, we would like registered, 119 sessions (including to convince you that even in the 14 satellite symposia), 618 lectures The decision to organise the EADV year of the World Congress in (25 under the patronage of sister Congress in Prague might be con- Europe, 'our' EADV Congress in societies) and 998 posters had sidered by some western Prague will be, I do believe, even been announced. The number of Europeans as a bit of a risk. Few of better. Why? accepted abstracts for the JEADV you have already visited our coun- Supplement will be 20 % higher try. You are not familiar with our More than than in Munich. standards and worry that possibly Skin-Deep things will not operate here as in Hundreds of dermatologists from 'More than Skin-Deep' is the main western cities. I understand there- Eastern European countries will theme of the Congress. According fore that, for some, coming to have the chance, some of them for to the Oxford Dictionary, skin- Prague is a bit of an adventure. Let the first time, to be an important deep is "(adj. of a wound, or of an me reassure you however. The part of our scientific community. emotion, an impression, a quality, more I travel all over the world, the Many sister societies have decided etc.) superficial, not deep or last- more I see that our country is no to organise scientific meetings, ing". Our intention is to make the different from other European (EU) general meetings or board meet- Congress very definitely "more countries. I can honestly tell you ings during the Congress. Their than skin-deep" in all its aspects - that we share similar problems - number is unbelievable - 33 der- scientifically, educationally, and nothing worse. So I invite you to matological and four patients' socially. So, we will try to engage see for yourself during the course societies. Some editors of the your emotions and your senses, of this Congress! journals will also meet in Prague. focusing all the time on quality, and experiences, which will last Extraordinary Respecting forever and we will leave the Numbers "wounds" to those specialised in Traditions healing wounds. We will try to Much of the attention of the der- Tradition is priceless. In our reach to the very depths of your matology profession has been on Prague Congress you will again brain (reviewing scientific subjects Paris and the World Congress ear- find the outstanding value which with great attention and from all lier this year. However, as Prof. has been built by my predecessors angles, including global perspec- Olafsson wrote, in a very nice let- - the previous EADV Congress tives) and of your soul (showing ter to me, "everybody knows Paris Presidents. All traditional sessions you the diverseness and richness of and will come to Prague". and items of the congress pro- our culture and hospitality). Naturally, I have always been con- gramme, to which you are accus- vinced of this, as I personally think tomed, will be repeated. We want Let's first have a look at some of that very few cities in the world are to continue the tradition started by the main characteristics of this comparable to Prague. the first Congress President, Prof. Congress. Panconesi, who published a Book But the 'gods' have not been with of Proceedings. This was the case 11

DV Congress in Prague

last year as well. We believe it is of great Evaluation forms interest for all of you to get a comprehen- To provide valuable feedback, which will sive book on the congress, not only help guide subsequent Congress Presidents abstracts. Furthermore, the publication of and planning for future EADV events, we the abstracts in the JEADV (with its 0.981 would kindly ask all participants to evalu- impact factor) is of enormous benefit to ate the Congress via the evaluation forms those presenting. we will provide.

What's New? We also have some new and exciting fea- Whilst respecting traditions, and the most tures with regard to publication activities. successful elements of previous congresses, New books we have also introduced some new aspects Charles University to the 11th EADV Congress. First let's look In addition to the Book of Proceedings, one at what's new in the scientific programme. issue of the International Journal of Immunopathology and Pharmacology will ment of Charles University departments. Posters in coffee breaks be entirely devoted to the Congress and Furthermore, in recognition of the 11th For the first time, poster discussions will two new books will be launched in Prague EADV Congress, the greatest event in the take place during the coffee breaks. This - Millennium Dermatologicum and history of Czech dermatology, the Czech has obvious advantages. Dermato- International Dermatology: An Approach to Society of Dermatology and Venereology venereologists presenting posters will be Human Mobile Population (see page 13). will award prominent international col- able to speak to their colleagues in front of leagues with Honorary membership. A the posters, and delegates will always be As for the social programme, we will bring concert and cocktail reception will follow able to discuss poster data with its presen- you a taste of some of the art and music the Awards Ceremony. ter (beside the poster) at the stated poster for which Prague is famous. presentation time. Finally, something new for the dermato- Prepared with passion logy community. One theme, one room The Opening Ceremony will take place in A specific scientific topic will always be pre- the Congress Centre, starting with a wel- International Reach sented in the same room (number of topics come cocktail and followed by a reception. Not only will Prague host the leading and presentations permitting). This way, par- We hope you will enjoy this programme European dermatology event, effectively ticipants interested in following all sessions 'prepared with passion' for you, our we will host a truly international gathering, relative to a particular theme, such as venere- guests! a world congress. For in addition to the ology, will easily find the room and not have participation of many important European Exclusive visit to move all over the congress centre. societies such as the UEMS, ESDR and EDF, On Thursday, 3 October, we invite you into there is also the participation of American, the heart of the Charles University, the old- Well-managed scheduling (AAD), Brazilian (BSD) and international est university north of the Alps, open exclu- Following the advice of previous Congress societies (IACD), including the greatest sively for you. During our Awards Ceremony, Presidents, we have tried, wherever possible, international dermatological society - the you will enjoy a unique chance to see the to avoid having one speaker scheduled to International Society of Dermatology. splendid interior, not generally open to the speak during concurrent sessions. We believe Here, the ISD will hold the first meeting of public or available for commercial events. It that all participants will benefit from this. the International Council of Dermatological is a great pleasure for me, a Vice-Dean of the Societies where all Presidents and Medical School of the Charles University, to Secretary-Generals of all National invite you to our Alma Mater. Dermatological Societies are welcome.

Under the patronage of the Rector Dear colleagues, welcome to Prague! Magnificus, the Charles University Medals will be presented to three international col- Yours, leagues who have supported the develop- Prof. Jana Hercogová, MD

Charles University Congress President EADV 2002 12

Call for Action On the occasion of the 11th EADV Congress in Prague, Prof. Vladimír Resl, MD would like to open discussion on "dermatology politics" around the topics laid out in the memorandum below.

Prof. Vladimír Resl, MD - Honorary President of the 11th Congress EADV Prague 2002 - President Czech Society of Dermatology and Venereology - Department of Dermatology and Venereology, Charles University Pilsen MEMORANDUM All representatives and participants of the 11th EADV Congress in Prague are asked to support the following Declaration, which could be partly or as a whole, the Conclusion of the Congress. We should discuss and imple- ment the following paragraphs in our meetings and seminars.

The participants of EADV Congress in Prague came to the conclusion that the discipline of Dermatology and Venereology has come under political and economical pressure in recent years in all European countries. There is much in common across all countries but the greatest impact is felt in developing countries, where shrinking budgets are decreasing dermatology care and quality standards. That is why we are advising Government Representatives, Ministers of Health, Hospital Directors, Representatives of Political Parties and all guests of the Congress about the following facts:

1) Dermatology and Venereology diseases make life miserable, are often life threatening and eventually lead to death. The enhancement of cure procedures depends directly on well-funded research.

2) Dermatology and Venereology is a basic Medicine Discipline and shouldn´t be confused with others disci- plines, largely because of complex and specific diagnostic Procedures.

3) The Subdisciplines of Dermatology and Venereology such as Andrology, Phlebology, Mycology, Histopathology, Allergology, Immunology, Pediatric Dermatology, Dermatology Surgery, Aesthetic Medicine and Cosmetology etc., some of them complex, are an integral part of Dermatology and Venereology Medicine Discipline and should be treated as such.

4) For steady and solid progress of our scientific field, there must be basic and applications research maintained in every country of Europe. Major developments are expected in areas such as Allergology, Immunology, Genetics.

5) Key findings should be compiled to enhance advanced professional education in every country. Obviously the EADV is the major professional educator, together with the main national trade societies. EADV has a rich silo of professional knowledge, common problems and statistics and is more then willing to share them with professional partners all over the EU.

6) Undesirable tendencies are dividing Dermatologists into two categories - the practical and facultative (ten- dency to use different expensive therapy).

7) The decreasing number of Dermatologists is untimely, as is the reduction of hospital beds. The sick have to be treated by family physicians with less professional dermatology experience.

8) It would be wrong to mix up Dermatology and Cosmetology (Dermatology is not Cosmetology). Cosmetology is a part of Dermatology: it is a discipline with a complex research of its own and with positive results as it expands into areas of many pathology states (for example acne, or rosacea). It is improving the quality of life and works in field of disease prevention as well (for example photoprotection from tumors, emollientia for atopic dermatitis).

9) Recently we have come across diseases which are the direct result of "alternative medicine" practices and/or "irrational medicine" which we strongly oppose. In some cases, this kind of medicine is being supported by National Governments. 13

Book Review Celebrating the unique position of dermatology in medical science, 2 new books will be launched during the 11th EADV Congress.

Millennium Societies and National Societies actively geographical areas, to different religions Dermatologicum. involved in our field and the role of the and social attitudes. Special emphasis has European Handbook of International Society of Dermatology (ISD) been given to women and children in connecting European Dermatology with affected by dermatovenereological Dermatological Societies the rest of the world. Also included are lists disorders in developing countries, thanks to of the officers in Dermatological Societies the special attention of the Maria M. hy a book on Dermato- and the main pharmaceutical companies Duran Committee of the ISD. venereological Societies in Europe? W active in our field. Dermatology is continuously influenced by The book is illustrated by nearly 400 pic- and dependent on changes of technology, We hope that this book will help dermato- tures in full colour and will cover all the economy and social behaviours. venereologists to find their roots and to diagnostic and treatment aspects of skin Cooperation between clinicians, basic sci- work together bearing in mind the special and venereal disease of non-Caucasian entists and researchers is the pre-requisite place dermatology has in medical science. individuals. The following international for the future progress in our specialty. leaders in dermatology have enriched the Only Medical Societies are able to provide Orders can be made at the Prague book which their contributions: J. Ryan, a face-to-face forum for the correct Academy booth No. 21c on the second S. Jablonska, G.S. Pai, A.K. Gupta, exchange of scientific information and can floor of the Congress Centre. R.J. Hay, E. Tsoureli-Nikita, J. M. Mascaro, give their members the chance to grow in W. Westerhof, G. A. Vena, A. Katsambas, an ethical context. It is essential for der- M. Matucci Cerinic, J. S. Strauss, matovenereologists to regain their authori- International M. Waugh, G. Leigheb, G. Clive, ty and professional autonomy. This is the H. Hintner, D. I. Roseeuw, F. Camacho main aim and scope of Medical Societies Dermatology: Martinez, R. Wolf, A. Tosti, V. Cipollaro, A. and ultimately in the best interest of An Approach To Human Razzaque Ahmed. patients and of the scientific community, Mobile Population which in turn will properly influence Orders can be made at the ISD booth No. Governments and Health Care Systems. This book is the first book of the ISD 19a on the second floor of the Congress We should therefore know more about the Publishing House Series. The first textbook Centre. life of our Societies in Europe. dedicated to dermatovenereological prob- lems of the human mobile population and Through this book, we plan to inform all to ethnic dermatology, it looks primarily at dermatovenereologists about the life and the transcultural approach towards activities of National and International individuals belonging to different Societies active in our field in Europe. In informing all dermatovenereologists, we aim to open a road towards cooperation The Maria M. Duran Committee, devoted to women and children, was created in mem- and medical accreditation programmes ory of Prof. Duran by the ISD Executive Committee. provided by Medical Societies active in the The Committee has decided to honour the most prominent women in dermatology with field of dermatovenereology in Europe. the Medal of Maria M. Duran. The following leading women will be awarded during the 11th EADV Congress: Finally, in this book you will find informa- Dr. Luna Azulay Abulafia (Brazil) Prof. Anna Kobza-Black (United Kingdom) tion about the roots of Dermatology in Prof. Boni E. Elewski (USA) Dr. Nerella Petrini (Italy) Europe, the role of the European Academy Prof. Stefania Jablonska (Poland) Prof. Diane Roseeuw (Belgium) of Dermatology and Venereology (EADV) Prof. Darina Jarcušková (Slovak Republic) Dr. Luitgard Wiest (Germany) in harmonising European Dermatology, Prof. Anna Fadrhoncová (Czech Republic) information on the main European 14

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On August 13, 1912 Franz met engaged again in 1917… a total followed by an atrocious period of and fell in love with Felice Bauer of 5 years of correspondence with his illness in the Kierling (although, as we will see, he later incredibly few and brief times Sanatorium in Klosterneuburg described her as ugly) and they together. (Austria) when he could not talk; became formally engaged in 1914 he communicated with Dora and in Berlin. He wrote THE After a pause he began writing Klopstock by writing on pieces of SENTENCE (also published as THE again in 1917, in his sister's small paper. He wrote to his parents not JUDGMENT in English) in a single house on the Alchimistengasse in to come to see him. At noon on 3 night in 1912 and it was later pub- Prague. That same year he experi- June he died with Klopstock at his lished dedicated to Felice. The enced a severe hemoptysis, that side. Klopstock had moved aside first meeting with her was stu- confirmed the diagnosis of tuber- to prepare another morphine injec- diously noted in his diary culosis of the lungs. He lived with tion for Franz, who continually (TAGENBÜCHER), with even a title Ottla in Zörau. In 1918 he learned asked for more, and Franz said, for the paragraph: FRAULEIN Hebrew. In 1919 he had an affair "Don't go away." Klopstock reas- FELICE BAUER. "When I arrived with Julie Wohryzek and they sured him, saying: "I'm not going at Brod's [at 1 Schanlengasse] on planned to marry. He wrote the away." and Franz replied, "But, August 13th, she was sit- LETTER TO [HIS] I'm going." Those were his last ting at the table, FATHER and went words. [Twenty years before in although I thought to Murano (Italy) Badenweiler Anton Cechov had she was a servant. I for a cure. Then, said: "Ich sterbe." (= I'm dying.)] wasn't at all curious that same year, Franz Kafka was buried on to know who she was, 1919, in Prague, Wednesday, 11 June 1924 in the but I settled in imme- he met Milena, Jewish cemetery of Strachnitz. diately. A bony, empty with whom he face that showed open- had another Mind and body ly emptiness. Free neck. strange love Notwithstanding the torture of the Wrinkled blouse. She affair (this time pas- relapses of that terrible albeit com- seemed dressed like a sionate but, again, prevalently mon chronic infectious disease of housewife, although, as I saw epistolary); they met because she the times, Franz Kafka thought later, she wasn't. (I appeared wanted to translate his stories into about the indivisible mind-body foreign to her because I observed Czech. She lived in Vienna with relationship (psychosomatics). In her from so close up…). Blonde, her "torturing" husband, and as one of his many letters to Max fairly straight hair, not attractive, had happened with Felice he was Brod, written in Zürau in 1917, he strong chin. While I was sitting terrified of living with, or even wrote: "the room is excellent, airy, down I looked at her attentively nearby, someone outside his own quiet and in a house that enjoys for the first time, and when I was family. practically total tranquillity; there seated I already had an unshake- is an abundance of everything that able judgement (I like her so much In 1920 he was hospitalised in the I am supposed to eat, except that it makes me sigh.)" Matliary Sanatorium where he first my lips are convulsively opposed, met (1921-22) the then 21 year- but this always happens to me It was to be a long-lasting love old medical student Robert after a change and liberty, espe- affair, albeit bizarre and strangely Klopstock. In 1923 at Müritz on cially liberty. conducted, mostly by correspon- the Baltic Sea coast he met Dora dence, without frequent meetings Dymant: they moved to Berlin and Of course there is the wound, of and they never lived together. In even planned to go to Palestine. which the lung lesion is only a May 1914 they became engaged symbol … today my attitude in Berlin, but in July Franz broke In 1924 at the Wiener Wald towards tuberculosis is that of a the engagement. In 1915 in Sanatorium in Ortmann (Austria) child towards the folds of his Bodenbach he revived the relation- he was diagnosed with tuberculo- mother's skirt, that he grasps. If I ship and was with her in sis of the larynx. A brief stay in the got the disease from my mother, Marienbad in 1916; they got clinic of Dr. Hayek in Vienna was that concords even better and with 15

her infinite care, all much less than her com- prehension. My mother would have done me this service also. I try continually to explain the disease to myself because I certainly didn't ask for it. Sometimes I have the impression that my brain and my lungs have reached an agreement without my knowing about it. "This can't go on," the brain said, and five years later the lungs declared their agreement to help."

In other letters, I cite some to Milena, the psy- chosomatic idea is emphasised and literaturized: "…these negotiations between the brain and the lungs, that have taken place without my knowledge, must have been horrible." And also: "I am mentally sick, the lung disease is only an overflow of the mental disease."

Emiliano Panconesi

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Genomics & Genetics Vital discoveries were presented by Dr. J. Weissenbach in The Human Genome Project & its Impact in Dermatology. On going research into genetic disorders and pharmaco-genomics, together with epidemiological studies, have clearly revealed that each individual has his/her own genetic pattern. Whilst some drugs will work for one genomic pattern, the same treat- ment will not function well with a different pat- tern. These major findings mean that we can now start to customise our treatments accord- ing to individual genomic patterns.

We have all known for a while that the human skin is susceptible to exposure from the sun but have had no clear understanding of the molecular or genetic basis for this susceptibility. However, in Paris we learnt that genetic reasons have been identified which will now allow us to evaluate each individual's susceptibility and therefore prescribe suitable prevention. At each congress or symposium we attend, we learn something new in our ever-developing and complex specialty. I look forward to sharing more new discoveries with you during our own EADV Congress in Prague.

EADV News would like to thank Prof. Jean- Paul Ortonne for his contribution. 16

Moriz (Kohn) Kaposi

A century after the Southern Hungary, son of Salomon Not unlike Hebra, Kaposi had death of Moriz Kaposi, Kohn and Rosa, née Krauss. He exceptional qualities as a teacher, European dermatology attended a Hungarian elementary clinical researcher and author of is in the process of school and received the first four international renown. He elevated creating, if not years of secondary schooling in a his father-in-law's school of into its re-creating, the Gymnasium in his native city. early apogee, establishing it as the cosmopolitan world of Then he moved to Pozsony leading school on the continent in Kaposi's time in a new (Pressburg, Bratislava) to complete the last quarter of the 19th century. Europe, politically and the remaining four years of educa- tion in the German Gymnasium. In 1869, we find the first paper on medically. Members of Thereafter, Kohn went to Vienna lupus erythematosus still under the EADV pay tribute to where he enrolled in the Medical name of Kohn. In 1872, now as this distinguished School of Vienna University in Kaposi, he published a much more dermatologist. 1856 and from which he graduat- detailed treatise on lupus erythe- ed as a Doctor of Medicine on 13 matosus. In the same year, his first reat men and great women December 1861, as Doctor of observations on 'idiopathic multi- G deserve to be remembered, Surgery on 14 April 1862, and as ple pigmented sarcoma of the skin' in history, in general and in their Master of Obstetrics on 12 July (eponymously called Kaposi's sar- own spheres of influence. 1866. He worked in several coma) appeared in print. Papers Medicine has always emphasised departments of the Vienna general on erythema multiforme, its own history since the time of (University) Hospital, became rhinoscleroma, the mycoses , and antiquity. Hippocrates of Kos, 'dozent' out of the 2nd chair other subjects were to follow as Aulus Cornelius Celsus of Rome, (syphilology) Prof. Carl Ludwig well as 'Kaposi's varicelliform erup- Galenos of Pergamon, Avicenna, Sigmund's and eventually joined tion' (the superinfection of Maimonides, Vesalius, Harvey, Hebra's department (1st chair). In eczematous areas with herpes Morgagni, Auenbrugger, Laënnec, February 1869 he married Hebra's virus). This was not the subject of to mention but a few, have all daughter Martha. Sometime a separate publication but is men- been hailed over time and have before his marriage, Kohn must tioned in his textbook from the enlivened the ambitions of doctors have changed his denomination third edition onwards. The text- and students alike. from Judaism to Roman book of Hebra's first appeared in Catholicism, because in the mar- co-authorship (Hebra-Kaposi) and In dermatology, it was Robert riage certificate of 6 February finally just under the name of Willan (1757-1812) who was 1869, he is listed as such. Kaposi. In 1875, he was appointed 'elected' to be the Dermatologist Professor of Dermatology. of the Millennium in 1999. Jean- Louis Alibert (1768-1837) was addressed as hero of the first great school in the Hõpital Saint-Louis, in 2001, at the bicentennial of his Directorship, and it is Moriz Kaposi (1837-1902), the Judeo-Austro- Hungarian, who is in focus this year. AIDS and Kaposi sarcoma offer additional justification 1, 2, 3.

Kaposi was born Moriz Kohn on 23 October 1837 (24 Tishri 5598) into a Jewish family in Kaposvár,

Fig 1: Moriz Kaposi at his private desk in Vienna, Alser Strasse 26 (copyright Inst. Hist. Med. Univ. Vienna) 17

(23 October 1837 - 6 March 1902)

In 1871, Kaposi formally and officially mentary volume (Ergänzungsband) of the changed his name from Kohn to Kaposi, a Archif für Dermatologie und Syphilis. His fact he made public in footnotes both in oeuvre consisted of more than one hun- medical journals and in the Hebra-Kaposi dred publications 2. textbook of Dermatology. Permission for the change of name was granted by decree Successively, many honours were on 8 November 1871. 'Kaposi' obviously bestowed upon Kaposi. He became a was selected in reverence for his native city member of the Imperial Order of and the river 'Kapos'. (Emperor) Leopold; he was appointed 'Hofrath', officer of the Légion d'Honneur Ferdinand von Hebra died on 5 August and elected member of many other 1880 and Kaposi took over his father-in- national and international scientific societies. law's department. (Fig. 1). He successfully competed with other famous pupils of Kaposi was a polyglot, being fluent in Hebra, namely, Hans von Hebra, his brother- Hungarian, German, French and English. Fig. 3: Professor Attila Horvath, President, in-law, Heinrich Auspitz and Filipp Josef At international congresses he was sought Hungarian Dermatological Society and Professor Pick, who was later to become head of the as a speaker, but he was also a sharp critic, Martin M Black, President, EADV, together at Department of Dermatology in Prague and feared for his caustic remarks. He was well memorial to Kaposi, in Kaposvar, Hungary co-founder of the German Society of integrated into the Viennese society of the variety of traditions in his personal profile: Dermatology (1889). time and was a friend of many artists, such Jewish educational erudition, Hungarian as the famous painter Makart, who was vivacity and Austrian cosmopolitanism of Kaposi hosted the Second International also his patient and who did a portrait of the late fin-de-siècle together with the Congress of Dermatology in Vienna in his wife, and the sculptor Kundmann, who spirited atmosphere of culture offered by 1892 and served as its President. In Paris created the statue crowning the Kaposi Vienna at the time - music, medicine, liter- in 1889, at the first of these meetings, he tomb, for which Kaposi's wife Martha ature, Brahms, Billroth, Freud, Mahler - a was one of the Vice-Presidents and in served as model. (Fig. 2). Kaposi and world in its evening glow which he epito- London in 1896 he was one of the Foreign Martha Hebra had five children, three sons mized. One century later, European Secretaries. Again, in Paris in 1900 he and two daughters. There is no name- dermatology is under way to create, if not served as one of the Honorary Presidents carrying descendant in the direct line. re-create the cosmopolitan world of then (together with Jonathan Hutchinson). A in a new Europe, politically and medically. special festschrift was edited on the occa- The 3rd International Conference of the sion of the 25th anniversary of his appoint- Mor Kaposi Research Foundation was held Zlata Praha, - das goldene Prag, in the very ment as Professor of Dermatology, The in Budapest 12 April 2002 to commemo- heart of the continent could not be a bet- festschrift appeared as a special supple- rate the 100th Anniversary of the death of ter venue to stimulate us all in this effort. Moriz Kaposi. A special visit took place to his Birthplace in Kaposvar. (Figs. 3 and 4). EADV News would like to thank the authors: Martin M. Black, MD, Karl Kaposi may be remembered as a dermatol-

Holubar, MD FRCP and Stella Fatovic-' ogist of international renown, combining a ^ Ferencic,' MD PhD Fig. 2: The Kaposi family tomb in Vienna; pic- ture taken on the day of the centenary of his death; 6 March 2002, the wreath placed by K.H. in the name of the Austrian Society of Dermatology (copyright by K.H.)

Fig. 4: Original birth certificate of M Kaposi (Kohn), 23 October 1837, taken in Synagogue, Kaposvar, Hungary.

References (1) Holubar K, Frankl J and Moriz Kaposi. Chairman of the Vienna Department of Dermatology I 1881-1902. Am. J. Dermatopath. 1981; 3: 349-354. (2) Holubar K, Fatovic-Ferencic S. 1902-2002: A hundred years later. Moriz Kaposi 1837-1902: A historical reappraisal. Wien klin Wochenschr. 2001; 113: 885-891. (3) Holubar K, Fatovic-Ferencic S. 2002; A hundred years after Kaposi - A post- Holocaust Coup d'Oeuil of Vienna's Jewish Heritage in Dermatology. J. Invest. Derm. 2001; 117: 1329-1330. 18

First EADV Intercontinental Hotel,

New Venue Preparations for the Malta Symposium are in full swing. The venue has been changed to the Intercontinental Hotel Malta just down the road from the Hilton Highlights of the first that remains a favoured confer- ence hotel. The new venue also Spring Symposium boasts an ice rink, a bowling alley, include a reception at the a cinema complex and a Health President's Palace, a Club that will be available to regis- world-renowned faculty, trants staying at the hotel. contributions from nurses Social Programme and patient support The Opening Ceremony will be groups, simultaneous staged in the world famous St translation, a History of John's Cathedral in Valetta, 'the city built by gentlemen for gentle- Medicine pre-meeting and men', and home to the famous sponsorship from the Caravaggio Beheading of St John. European Union. Joe A reception at the President's Palace, kindly offered for the occa- Pace, Symposium sion by H E Prof Guido de Marco, Chairman reports. Patron of the Symposium, follows.

1 19

Spring Symposium Malta 27 February - 01 March 2003

A masked Carnival Party is being organised Australia. The programme has CME recog- EU Support on Saturday night to close the Symposium. nition by the AAD and will also include The Exhibition Hall is also filling steadily and contributions by Dermatology nurses and another first is the obtaining of a sponsor- Supporting Dermatology patients Support Groups. Translation ship from the European Union (EU) that Mindful of our responsibilities to those less English/French will be available for some strongly approves this event as a fine oppor- fortunate than ourselves, the Organising sessions outside the main programme to tunity for scientific exchange at the highest Committee hopes to organise a Charity encourage participation from French level between the inhabitants of Europe and event on Friday night (28 February) with speaking Mediterranean countries. those of neighbouring countries. proceeds going to the Tanzania project. This will be held in conjunction with the Additional Meetings Use our Conference airlines AirMalta and Rotary Club Malta. In addition registrants A large number of sister societies are join- Emirates Airlines for very special treatment with limited budgets will find special rates ing us and will have their own meeting on and bring your colleagues with you for at good hotels within walking distance of 1 March. These include the Mediterranean Malta 2003 - a meeting you will never the main venue. Association of Dermatology (AMED). forget. Besides Europe and the Mediterranean Outstanding Faculty countries, the US, Latin America, and On the academic side, all lecturers have Australasia are providing a good number of accepted the Organising Committee's invi- enquiries. The History of Medicine pre- meeting is being held on 26 February at Fort tation which for the first time, according to Keep in touch by visiting our web St Angelo, the bulwark of Malta's defences EADV policy, does not include complimen- site www.eadvmalta2003.com and in the Great Siege of 1565 and now sover- tary registration. The Faculty is a veritable check out www.visitmalta.com for eign territory of the Order of Malta 'Who`s Who' of excellence and includes general information. the newly elected ILDS President, Robin Marks who will be coming all the way from Closing date for Abstract Submission - 31 October 2002

1. Aerial view of the Intercontinental Hotel 3 452. Valetta from the sea 3. Newly elected ILDS member Marcia Ramos-e-Silva celebrates World Cup victory. Marcia will lead a Brazilian group to Malta 4. From left to right: Symposium Chairman Joe Pace, Anne Kobza Black, MaryAnn Pace, EADV President Martin Black 5. Joe Pace, Malta Symposium Chairman (lelt) and Attila Horváth, Budapest Symposium Chairman (right) practise for the Malta Carnival Party

2 20 Update from the Secretary General

he Academy continues to grow the EADV are eligible to apply for promises to be a new departure in T in membership and is having EADV (affiliated) membership at less Dermatovenereology educational an increasing impact on the practice than 50% of the ordinary member- events. of dermatology in Europe. This year ship fee! Organisations such as the we expect our membership numbers Lithuanian Society for At the Heart of to exceed 2000, an increase of over Dermatovenereology, the Polish Dermatovenerology 30% on the numbers of two years Association of Dermatology and The EADV Board realises that we still ago, and the highest number to Venereology, the Scottish have a lot to achieve to make the date. Our membership is vital to our Dermatology Society, the Hungarian kind of impact the EADV should existence, and as we grow we can Dermatological Society, the have on our speciality. With the justifiably state that we are repre- European Task Force on Atopic extraordinary rich talents and wide sentative of all strands of European Dermatitis are either affiliated or in diversity of cultural attributes of dermatology and venereology. This the process of becoming affiliated to European Dermatovenereology our unique status helps us to achieve the EADV. I think you will agree Academy has the potential to our goals of high standards of der- that the interest shown by these become the most dynamic vibrant matology and venereology through- important national organisations in organisation in our speciality - not out Europe, and provide the best our Academy is a strong indication only in Europe, but worldwide! We quality of care to our patients. All of its increasing relevance in the new are working hard to ensure that the European countries are now repre- European community we live in. EADV provides valuable information sented in our membership, and and meaningful services to its mem- Dates to international members come from Access to Education bers, delivered efficiently by a demo- Remember countries as far apart as Argentina As we make our membership more cratic organisation in which all mem- and Australia, Chile and Canada. accessible, so also are we increasing bers have a voice. Help us to move We are proud that our international 1st EADV Spring the accessibility of our educational forward on this road by encouraging Symposium colleagues join the EADV and wel- events. An additional annual meeting, your colleagues to join the EADV Malta come their input. 27 February - 1 the Spring Symposium, was intro- and to come to our educational March 2003 Expanding duced to facilitate practitioners in parts events and see for themselves. 12th EADV Congress of Europe in which Congresses had not Barcelona, Spain Membership been held. Thus, Malta (2003) and As Secretary-General, I would wel- 15 - 18 October However, EADV membership is still Budapest (2004) will deliver the high- come your views on the Academy 2003 only a small percentage of the total est quality Dermatovenereology and its relevance to your practice. 2nd EADV Spring number of dermatologists and Spring Symposia to practitioners in Tell us what you would like from the Symposium venereologists in Europe. We want Southern and Eastern Europe respec- EADV to make your membership Budapest, Hungary 30 April - 1 May to make our Academy more accessi- tively over a two day period in a more more worthwhile. 2004 ble and meaningful to practitioners intimate, interactive environment than in all parts of Europe, and with this the larger Congress venue. I do hope Frank C. Powell 13th EADV Congress Florence, Italy objective we recently introduced the that many of you will travel to these Secretary General 17 - 21 November category of Affiliated membership. wonderful venues to support our out- 2004 Members of Societies affiliated to reach policy and partake in what 14th EADV Congress London, United Kingdom 12 - 15 October 1st EADV Spring Symposium 12th EADV Congress 2005 27 February - 1 March 2003 15 - 18 October 2003 Submit your abstracts on-line at Closing date for submission of abstracts: www.eadvmalta2003.com 30 March 2003 Closing date for abstract submission: Notification of acceptance of free 31 October 2002 communications: June 2003 Deadline for early-bird registration: 28 June 2003

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