Medical Terminology Daily - Est. 2012

Medical Terminology Daily (MTD) is a blog sponsored by Clinical Anatomy Associates, Inc. as a service to the medical community. We post anatomical, medical or surgical terms, their meaning and usage, as well as biographical notes on anatomists, surgeons, and researchers through the ages. Be warned that some of the images used depict human anatomical specimens.

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A Moment in History

Georg Eduard Von Rindfleisch

Georg Eduard Von Rindfleisch
(1836 – 1908)

German pathologist and histologist of Bavarian nobility ancestry. Rindfleisch studied medicine in Würzburg, Berlin, and Heidelberg, earning his MD in 1859 with the thesis “De Vasorum Genesi” (on the generation of vessels) under the tutelage of Rudolf Virchow (1821 - 1902). He then continued as a assistant to Virchow in a newly founded institute in Berlin. He then moved to Breslau in 1861 as an assistant to Rudolf Heidenhain (1834–1897), becoming a professor of pathological anatomy. In 1865 he became full professor in Bonn and in 1874 in Würzburg, where a new pathological institute was built according to his design (completed in 1878), where he worked until his retirement in 1906.

He was the first to describe the inflammatory background of multiple sclerosis in 1863, when he noted that demyelinated lesions have in their center small vessels that are surrounded by a leukocyte inflammatory infiltrate.

After extensive investigations, he suspected an infectious origin of tuberculosis - even before Robert Koch's detection of the tuberculosis bacillus in 1892. Rindfleisch 's special achievement is the description of the morphologically conspicuous macrophages in typhoid inflammation. His distinction between myocardial infarction and myocarditis in 1890 is also of lasting importance.

Associated eponyms

"Rindfleisch's folds": Usually a single semilunar fold of the serous surface of the pericardium around the origin of the aorta. Also known as the plica semilunaris aortæ.

"Rindfleisch's cells": Historical (and obsolete) name for eosinophilic leukocytes.

Personal note: G. Rindfleisch’s book “Traité D' Histologie Pathologique” 2nd edition (1873) is now part of my library. This book was translated from German to French by Dr. Frédéric Gross (1844-1927) , Associate Professor of the Medicine Faculty in Nancy, France. The book is dedicated to Dr. Theodore Billroth (1829-1894), an important surgeon whose pioneering work on subtotal gastrectomies paved the way for today’s robotic bariatric surgery. Dr. Miranda.

Sources:
1. "Stedmans Medical Eponyms" Forbis, P.; Bartolucci, SL; 1998 Williams and Wilkins
2. "Rindfleisch, Georg Eduard von (bayerischer Adel?)" Deutsche Biographie
3. "The pathology of multiple sclerosis and its evolution" Lassmann H. (1999)  Philos Trans R Soc Lond B Biol Sci. 354 (1390): 1635–40.
4. “Traité D' Histologie Pathologique” G.E.
Rindfleisch 2nd Ed (1873) Ballieres et Fils. Paris, Translated by F Gross


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A patient with mevalonic aciduria at the age of 21 months displaying characteristic facial dysmorphism.
Click for a larger image

[Dysmorphism] is a medical term formed by the prefix [dys-] meaning "abnormal", the root term [-morph-], arising from the Greek word [μορφος] (morfos), meaning "form" or "shape", and the suffix [-ism], also of Greek origin, in this case meaning "condition". A condition of abnormal shape, or "misshapen".

The term dysmorphism is used to denote an anatomical anomaly, usually superficial, that goes beyond the objective (and sometimes subjective) boundaries of normalcy. An example of these are craniofacial dysmorphisms associated with specific congenital disorders, such as Crouzon syndrome; birth defects such as hemifacial microsomia, or as in the case of the image on this article, Mevalonate Kinase Deficiency, a metabolic disease.

Some craniofacial dysmorphisms can affect articulation and speech, such as cleft palate, cleft lip (harelip), prognathism, and retrognathism.

Dysmorphism is also used in some mental disorders where the patient has an abnormal self-image, seeing his/her body or body parts as abnormal, when they are not. This is known as Body Dysmorphic Disorder (BDD), and can be associated with obsessive-compulsive behavior, anxiety, or depression. In some cases BDD can be associated or found in eating disorders such as Anorexia Nervosa, or bulimia.

The image shows a small child with mevalonic aciduria, a deficiency of mevalonate kinase deficiency. This is a rare  genetic autosomal recessive metabolic disorder.

Thanks to Maria E. Gallegos, Chair of the Speech Pathology School, Iberoamerican University, Santiago Chile, for suggesting this article. Dr. Miranda

Image Source: Haas D, Hoffmann GF. Mevalonate kinase deficiencies: from mevalonic aciduria to hyperimmunoglobulinemia D syndrome. Orphanet J Rare Dis. 1, 13. 2006. PMID 16722536. DOI:10.1186/1750-1172-1-13 Image in the public domain