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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Torus - By LucasVB [Public domain], via Wikimedia Commons
Click for a larger image

The word [torus] is of Latin origin and refers to “a rounded protuberance or swelling”. In science, it refers to a doughnut-shaped structure (see image). It also refers to the rounded, bulging, and circular base component of a pillar, found between the square plinth and the main body of the pillar. The torus can be seen in Egyptian, Greek, and Roman style pillars.

The term is used in anatomy and medicine to denote normal or abnormal circular or semicircular protuberances, as in the case of the “torus tubarius”, a normal semicircular elevation found at the ostium of the auditory tube (of Eustachius) in the lateral walls of the rhinopharynx. The torus tubarius elevation is due to the presence of lymphoid tissue which can get inflamed.

Torus mandibularis. An exostosis that develops on the inner side of the mandible
Torus palatinus: a benign, small exostosis that appears in the midline of the hard palate

In orthopedics it is used to denote a compression fracture where the cortex of a long bone close to one of its epiphyses buckles under longitudinal (axial) compression. The look of the fracture is similar to the location of the torus in a pillar. An example of this is the torus fracture (also known as buckle fractures) in children.

The term [torulus] is related to [torus], as it means a “small torus” and it refers to a small elevation, which is synonymous with the word “papilla”. An example of this is the term torulus tactiles palmaris, referring to small elevations on the palms of the hand. Another related term is [torulosis], referring to a large number of small elevations or pimples.

The following images are of a Greek pillar taken in 2014 in Athens showing the location of the torus. The next image shows a torus fracture. The image is from www.kidsfractures.com/forearm/ and we thank them for sharing the image with us. This is a great site for information on fractures in children.

Greek pillar - Personal picture Athens 2014
Click for a larger view

Torus fracture - www.kidsfractures.com/forearm/
Click for a larger view

Sources:
1. “Medical Meanings: A Glossary of Word Origins” Haubrich, WS. Am Coll Phys. Philadelphia 1997
2. “The Origin of Medical Terms” Skinner, HA 1970, New York. Hafner Publishing Company
3. “Taber’s Cyclopedic Medical Dictionary” 16th Ed. 1989. Philadelphia. FA Davis Company
4.  www.kidsfractures.com/forearm/

Torus image: By LucasVB [Public domain], via Wikimedia Commons

Thanks to Jackie Miranda-Klein for suggesting this post.  Dr. Miranda.