History and Humanities in Dermatology
Medical Practice, Urban Legends, Myths and Folklore Regarding Dermatology in Ancient Greek History
Práctica médica, leyendas urbanas, mitos y folklore relativos a la Dermatología en la Historia antigua de Grecia
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An Introduction to Reaction-Diffusion Systems (Turing Patterns)" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 861 "Ancho" => 1305 "Tamanyo" => 242978 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Simulación simplificada que representa varios de los patrones de Turing que se pueden obtener mediante los sistemas de reacción difusión. Comparativa con distintos patrones morfológicos presentes en dermatología.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "D. Fernández-Nieto, D. Ortega-Quijano, P. Boixeda" "autores" => array:3 [ 0 => array:2 [ "nombre" => "D." "apellidos" => "Fernández-Nieto" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Ortega-Quijano" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Boixeda" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731022005373?idApp=UINPBA000044" "url" => "/00017310/0000011300000010/v1_202211300529/S0001731022005373/v1_202211300529/es/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S000173102100421X" "issn" => "00017310" "doi" => "10.1016/j.ad.2020.04.023" "estado" => "S300" "fechaPublicacion" => "2022-11-01" "aid" => "2812" "copyright" => "AEDV" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "ssu" "cita" => "Actas Dermosifiliogr. 2022;113:951-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Historia y Humanidades en Dermatología</span>" "titulo" => "Práctica médica, leyendas urbanas, mitos y folklore relativos a la Dermatología en la Historia antigua de Grecia" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "951" "paginaFinal" => "954" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Medical Practice, Urban Legends, Myths and Folklore Regarding Dermatology in Ancient Greek History" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 600 "Ancho" => 755 "Tamanyo" => 41940 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Modelo en arcilla de mano izquierda que exhibe un nódulo. Fecha: finales del siglo V - 2.<span class="elsevierStyleSup">a</span> mitad del siglo IV a. de C., Asclepieion de Corinto. El votivo representa un nódulo sobrepuesto a la parte distal del cuarto metacarpiano de la mano izquierda. La pintura roja que solía cubrirlo puede indicar que la lesión representaba herida/mordisco, absceso, o incluso una neoplasia cutánea.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G. Kyriakou, A. Kyriakou, A. Malouhou" "autores" => array:3 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Kyriakou" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Kyriakou" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Malouhou" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S000173102100421X?idApp=UINPBA000044" "url" => "/00017310/0000011300000010/v1_202211300529/S000173102100421X/v1_202211300529/es/main.assets" ] "asociados" => array:1 [ 0 => array:19 [ "pii" => "S000173102100421X" "issn" => "00017310" "doi" => "10.1016/j.ad.2020.04.023" "estado" => "S300" "fechaPublicacion" => "2022-11-01" "aid" => "2812" "copyright" => "AEDV" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "ssu" "cita" => "Actas Dermosifiliogr. 2022;113:951-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Historia y Humanidades en Dermatología</span>" "titulo" => "Práctica médica, leyendas urbanas, mitos y folklore relativos a la Dermatología en la Historia antigua de Grecia" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "951" "paginaFinal" => "954" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Medical Practice, Urban Legends, Myths and Folklore Regarding Dermatology in Ancient Greek History" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 600 "Ancho" => 755 "Tamanyo" => 41940 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Modelo en arcilla de mano izquierda que exhibe un nódulo. Fecha: finales del siglo V - 2.<span class="elsevierStyleSup">a</span> mitad del siglo IV a. de C., Asclepieion de Corinto. El votivo representa un nódulo sobrepuesto a la parte distal del cuarto metacarpiano de la mano izquierda. La pintura roja que solía cubrirlo puede indicar que la lesión representaba herida/mordisco, absceso, o incluso una neoplasia cutánea.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G. Kyriakou, A. Kyriakou, A. Malouhou" "autores" => array:3 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Kyriakou" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Kyriakou" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Malouhou" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S000173102100421X?idApp=UINPBA000044" "url" => "/00017310/0000011300000010/v1_202211300529/S000173102100421X/v1_202211300529/es/main.assets" ] ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">History and Humanities in Dermatology</span>" "titulo" => " Medical Practice, Urban Legends, Myths and Folklore Regarding Dermatology in Ancient Greek History" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "T951" "paginaFinal" => "T954" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "G. Kyriakou, A. Kyriakou, A. Malouhou" "autores" => array:3 [ 0 => array:4 [ "nombre" => "G." "apellidos" => "Kyriakou" "email" => array:1 [ 0 => "geo_kyr@yahoo.gr" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Kyriakou" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Malouhou" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Department of Dermatology, University General Hospital of Patras, Patras, Greece" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Classical Philologist, Patras, Greece" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Department of Dermatology, Evangelismos General Hospital, Athens, Greece" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Práctica médica, leyendas urbanas, mitos y folklore relativos a la Dermatología en la Historia antigua de Grecia" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 600 "Ancho" => 752 "Tamanyo" => 43560 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Clay model of a left hand bearing a nodule. Dating: Late 5th–2nd half of 4th century BC, Asclepieion of Corinth. The votive depicts a nodule overlying the distal part of the fourth metacarpal of the left hand. The red paint that used to cover it may indicate that the lesion represented an injury/bite, an abscess, or even a cutaneous malignancy.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Within Greece's rich and longstanding medical tradition, originating from the years of Hippocrates and Galen, the history of dermatology is characterized by its long-term existence, both ancient and contemporary. The obvious exteriority of skin diseases is one of the reasons why it drew medical attention early in history. Indeed, although dermatology did not become a medical subspecialty until the end of the 18th century, many concepts regarding dermatological diseases and its therapeutics are traced back to antiquity.</p><p id="par0010" class="elsevierStylePara elsevierViewall">In Ancient Greece, cutaneous diseases were described as manifestations of humoural pathology, based on the theory of the four ‘fluids’ (phlegm, yellow bile, black bile and blood) that stemmed from the theory of the four elements (earth, water, air and fire) and their four corresponding qualities (dry, humidity, cold and heat). These were in turn based on the theories of the philosophy of nature prevalent at the times.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The theory of the four humors was originally postulated by Hippocrates of Kos (460–370 BC), who is regarded as the founder of medical sciences, and dominated medicine for more than two thousand years.<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">1,2</span></a></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Asclepius</span><p id="par0020" class="elsevierStylePara elsevierViewall">Ancient Greek god religion and mythology can be found on the basement of the evolution of Dermatology. Asclepius was the Ancient Greek semi-god of medicine, son of divine Apollo and married to the Greek goddess of health, Hygieia (Health) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Asclepius met a tragic end when he was killed by a thunderbolt thrown by Zeus. This was because the father of the gods saw Asclepius and his medical skills as a threat to the eternal division between humanity and the gods, especially following rumors that Asclepius’ healing powers were so formidable that he could even raise the dead.<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">3,4</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">For hundreds of years, the cult of Asclepius maintained several sanctuaries at Thessaly, Epidaurus, Kos, Athens, Corinth, Pergamon and many other places across Greece called <span class="elsevierStyleItalic">Asclepieions.</span> The Asclepieions were the first primitive health care infrastructures in Europe and offered their services to patients from all over the Greece from the beginning of sixth century B.C. till the advent of Christianity in Greece in the fourth century AD. There, the descendants of Asclepius, known as <span class="elsevierStyleItalic">Therapeutae of Asclepius</span> or <span class="elsevierStyleItalic">Asclepiads</span> continued the practice of medicine and healing, and guided the patients through rituals of purification and “incubation” (<span class="elsevierStyleItalic">enkoimesis</span>). Saved inscriptions from these sanctuaries give accounts of many patients treated there for cutaneous diseases.<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">4,5</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">The most famous sanctuary was the Asclepieion at Epidaurus which became an important center of healing. There, live non-venomous snakes slithered about freely in the visitors’ quarters as the healers performed their rituals. This species is known today as the Aesculapian Snake (<span class="elsevierStyleItalic">Zamenis longissimus</span>) and was often used as part of the healing ceremonies. The rod of Asclepius, a snake-entwined staff, remains a symbol of medicine today. Additionally, sacred dogs roamed the sanctuary and visitors with flesh wounds would allow them to lick their wounds as it was believed their saliva had curative powers.<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">2,4,5</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">A plethora of votive offerings that vary in type and frequency can be found at the sanctuaries. Appendages and limbs as well as genitalia, mostly penises, have been found in various Asclepieions, but mostly in the city of Corinth (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Corinth was well known in antiquity as a place of prostitution, consequently the multitude of diseased penises is thought to represent venereal diseases. It may well be that the Asclepieion at Ancient Corinth served as a healing place for sexually transmitted diseases, even those whose provenance was the city itself.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Ancient Greek dermatological literature</span><p id="par0040" class="elsevierStylePara elsevierViewall">Ancient Greek medical literature, consisting mainly of Hippocratic and Galen (130–200 AD) writings as well as those of Pedanius Dioscorides (40–90 AD), Erasistratus (305–250 BC), and Herophilos of Chalcedon (330–255 BC), frequently describes certain cutaneous disorders. The Greeks, who pioneered the field of medicine, divided cutaneous disorders into the categories of psora (scabies), lepra and leichen. Alopecia, erysipelas, impetigo, vitiligo (alphos), melasma, pruritus, etc., are also recognizable on account of their striking characteristics.</p><p id="par0045" class="elsevierStylePara elsevierViewall">Hippocrates (460–370 BC), the “Father of Medicine,” was an Asclepiad of the temple on Cos, an island in the Dodecanese on the Aegean Sea. This is the reason why Asclepius was even featured in the original text of the Hippocratic Oath:<span class="elsevierStyleDisplayedQuote" id="dsq0005"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">“I swear by Apollo the Physician and by Asclepius and by Hygieia and Panacea and by all the gods…”</span>.</p></span></p><p id="par0050" class="elsevierStylePara elsevierViewall">The Hippocratic Collection, also known as the <span class="elsevierStyleItalic">Corpus Hippocraticum</span>, is a group of medical books edited at Alexandria about a hundred years after his death. In this collection of sixty books, Hippocrates describes how medicine owes to encorporate the art of clinical observation and use it to make prognosis, as in the case of Hippocratic facies indicating impending death. The Corpus Hippocraticum also describes skin anatomy and physiology, dermatological conditions, and gives great attention to the relation between the glands and the skin in health and disease.<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">6,7</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">For example, Hippocrates described an association between the acute onset of guttate psoriasis and a throat infection. Among others, he describes clubbed fingers and their association with underlying chronic pulmonary and cardiac disease, pruritus in cases of jaundice, and notes that urticaria associated with diarrhea and swollen joints may indicate a worm infestation. He also recorded genital and acral ulcers, and comments on the role of perspiration in maintaining homeostasis.<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">6–8</span></a> The list of cutaneous afflictions recorded in Hippocrates’ works spans the full range of modern skin diseases, including nail deformities, dermatitis, alopecia, acne, psoriasis, lichen planus, skin cancers, pigmentation disturbances, cutaneous microbial, viral, fungal and parasitic infections, ulcers, sexually transmitted diseases, burns, various vesicular, pustular and fissured eruptions, bullous and exfoliative diseases, and varicose veins. The earliest classification of cutaneous diseases can also be attributed to Hippocrates, since he was the first to propagate the philosophical idea of “etiological classification” by dividing disorders into local and constitutional.<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">7,8</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">Hippocrates believed that physicians should do the opposite of what was inflicted by the disease, such as applying a drying agent to the moist area and applying an emollient to a dry area. He introduced a variety of topical treatments using a multitude of natural ingredients such as herbs, honey, spring water, goose or pig fat, tar, and white wine and used curettage and cautery for excision of superficial cutaneous tumors.<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">6–8</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">Aelius Galenus or Claudius Galenus (130–201 AD) was a Greek physician and philosopher, born in the ancient Greek city of Pergamon. Arguably the most accomplished of all medical researchers of antiquity, Galen was the first to identify the skin as the organ of touch, focusing on the special features of the thick skin of the palms to allow full contact with the objects it grasps. The Antonine Plague, an ancient pandemic of the Roman Empire (165 t-180 AD), was also known as the Plague of Galen, since he was the first to describe the blistering rash that covered the victim's entire body. He was also the first to write a book entirely on cutaneous disorders and classified skin diseases into those of the hairy part of the body and those of the non-hairy parts. This classification system influenced and remained the back bone of modern Dermatology till about mid-18th century.<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">8,9</span></a></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Dermatology in ancient Greek mythology</span><p id="par0070" class="elsevierStylePara elsevierViewall">Dermatologic conditions as results from insults to Gods are present in a number of ancient Greek myths. The first figure in Ancient Greek mythology connected with Dermatology is the healer of Gods “Παιών” (Paion). In Homeric epic poems Paion is presented as a healing god who treated the wounds of Mars and Hades using a combination of various herbs, ointments and other remedies. During the classic years, the word Paion identified with Asclepius, or even god Apollo, and his name became a synonym for the dermatologic healer.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a></p><p id="par0075" class="elsevierStylePara elsevierViewall">Several places in Ancient Greece, especially Peloponnese, claimed to be the site of the cure of cutaneous disorders, including the healing springs of the Anigrid nymphs. Anigrides, the nymphs of the river Anigrus in the ancient country of Triphyllia were believed to live in a grotto sacred to them, which was visited by persons afflicted with cutaneous diseases. In a Hesiodic myth, the daughters of King Proitos of Tiryns, the Proitids, were punished for their scorn of Zeus's wife, Hera by a disfigurement caused by a loathsome skin disease. They believed they became cows and were afflicted by vitiligo (alphòs) and a form of dermatosis (knùos) which caused loss of hair. Melampus, a legendary soothsayer and healer, cured the girls by making them have a ritual bath at the river Anigrus and was rewarded with receiving one of the princesses in marriage.<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">As a result, the water reputedly cured skin diseases including leprosy, elephantiasis, and scabies. The patients were cured by prayers and sacrifices to the nymphs, and by bathing in the river. It is said, also, that the Alpheios (Alpheus) was so named from its being a cure for vitiligo (Aλφóζ- stands for dull-white in Ancient Greek language, albus in Latin).</p><p id="par0085" class="elsevierStylePara elsevierViewall">In the mythical accounts, Chiron who was the original and archetypal Greek Centaur was also believed to have visited the springs in order to wash off the poison he got from Hydra. The emission of an offensive odor from the waters was attributed to this poison; nevertheless today it is known that is caused by increased concentrations of sulphur.<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a><span class="elsevierStyleDisplayedQuote" id="dsq0010"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">“There is in Samicum a cave not far from this river and called the Cave of the Anigrid Nymphs. Whoever enters it suffering from alphos or leuke first has to pray to the nymphs and to promise some sacrifice or other, after which he wipes the unhealthy parts of his body. Then, swimming through the river, he leaves his old uncleanness in its water, coming up sound and of one color.”</span></p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">“Pausanias, Description on Greece, 5.5 and 5.6”</p></span></p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Concluding remarks</span><p id="par0090" class="elsevierStylePara elsevierViewall">The Ancient Greek historical-mythical path followed in this study reveals the inauguration of the scientific era of dermatology by Hippocrates, as depicted through the Hippocratic Corpus. In the pre-Hippocratic and pre-Galenic era, the science of Dermatology mingled between Myth and history. Through the use of symbols, mythology set the grounds for the systematic investigation and explanation of several subjects, such as human nature and disease, including cutaneous afflictions. However, Ancient Greek medicine was the first to attribute the skin with a purely instrumental function. Despite the fact that Hippocrates's unique contribution to dermatology was overshadowed by his status as the father of medicine and the oath ascribed to him, we still preserve – to some extent – the same dermatological terminology that Ancient Greek medicine had adopted and divulged. On the whole, it is undeniable that via Ancient Greek medicine, many aspects of Dermatology were expanded, modified, improved, and ultimately carried forward to contemporary occidental medicine.</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Conflict of interest</span><p id="par0095" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:7 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Asclepius" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Ancient Greek dermatological literature" ] 3 => array:2 [ "identificador" => "sec0020" "titulo" => "Dermatology in ancient Greek mythology" ] 4 => array:2 [ "identificador" => "sec0025" "titulo" => "Concluding remarks" ] 5 => array:2 [ "identificador" => "sec0030" "titulo" => "Conflict of interest" ] 6 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2020-03-12" "fechaAceptado" => "2020-04-27" "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1094 "Ancho" => 757 "Tamanyo" => 265889 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Hygeia, as depicted by the Austrian symbolist painter Gustav Klimt.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 600 "Ancho" => 752 "Tamanyo" => 43560 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Clay model of a left hand bearing a nodule. Dating: Late 5th–2nd half of 4th century BC, Asclepieion of Corinth. The votive depicts a nodule overlying the distal part of the fourth metacarpal of the left hand. The red paint that used to cover it may indicate that the lesion represented an injury/bite, an abscess, or even a cutaneous malignancy.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0055" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The historical origins of the basic concepts of health promotion and education: the role of ancient Greek philosophy and medicine" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Y. Tountas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Health Prom Int" "fecha" => "2009" "volumen" => "24" "paginaInicial" => "185" "paginaFinal" => "192" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0060" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A synopsis of the history of dermatology" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "I.H. McCaw" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Ulster Med J" "fecha" => "1944" "volumen" => "13" "paginaInicial" => "109" "paginaFinal" => "122" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0065" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Thessaly and medicine from ancient Greek mythology to contemporary times: a perpetual relationship" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D. Papagiannis" 1 => "G. Rachiotis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Infez Med" "fecha" => "2019" "volumen" => "27" "paginaInicial" => "461" "paginaFinal" => "467" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31847001" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0070" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ancient Greek medicine before and after Hippocrates: the scientification of medicine" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E. Magiorkinis" 1 => "A. Beloukas" 2 => "A. Diamantis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "BMMR" "fecha" => "2011" "volumen" => "14" "paginaInicial" => "52" "paginaFinal" => "65" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0075" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "From Asclepius to Hippocrates: the art and science of healing" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.H. Savel" 1 => "C.L. Munro" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4037/ajcc2014993" "Revista" => array:6 [ "tituloSerie" => "Am J Crit Care" "fecha" => "2014" "volumen" => "23" "paginaInicial" => "437" "paginaFinal" => "439" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25362664" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0080" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hippocrates’ contributions to dermatology revealed" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Alsaidan" 1 => "B.J. Simmons" 2 => "F.N. Bray" 3 => "L.A. Falto-Aizpurua" 4 => "R.D. Griffith" 5 => "K. Nouri" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1001/jamadermatol.2015.0201" "Revista" => array:5 [ "tituloSerie" => "JAMA Dermatol" "fecha" => "2015" "volumen" => "151" "paginaInicial" => "658" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26061955" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0085" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "From Hippocrates to modern medicine" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "C.E. Orfanos" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1468-3083.2007.02273.x" "Revista" => array:6 [ "tituloSerie" => "J Eur Acad Dermatol Venereol" "fecha" => "2007" "volumen" => "21" "paginaInicial" => "852" "paginaFinal" => "858" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17567335" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0090" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Skin over the centuries. A short history of dermatology: physiology, pathology and cosmetics" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R. Santoro" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Hist" "fecha" => "2017" "volumen" => "1" "paginaInicial" => "94" "paginaFinal" => "102" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0095" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Galen's (130–201 AD) conceptions of the heart" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. Karamanou" 1 => "C. Stefanadis" 2 => "G. Tsoucalas" 3 => "K. Laios" 4 => "G. Androutsos" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Hellenic J Cardiol" "fecha" => "2015" "volumen" => "56" "paginaInicial" => "197" "paginaFinal" => "200" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26021240" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0100" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pharmacology and psychiatry at the origins of Greek medicine: the myth of Melampus and the madness of the Proetides" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.F. Olivieri" 1 => "F. Marzari" 2 => "A.J. Kesel" 3 => "L. Bonalume" 4 => "F. Saettini" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/0964704X.2016.1211901" "Revista" => array:6 [ "tituloSerie" => "J Hist Neurosci" "fecha" => "2017" "volumen" => "26" "paginaInicial" => "193" "paginaFinal" => "215" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27625080" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/00017310/0000011300000010/v1_202211300529/S0001731022008870/v1_202211300529/en/main.assets" "Apartado" => array:4 [ "identificador" => "6199" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Historia y Humanidades en Dermatología" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/00017310/0000011300000010/v1_202211300529/S0001731022008870/v1_202211300529/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731022008870?idApp=UINPBA000044" ]
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