Is it Still Worthwhile for Medicine to Continue Using Eponyms?

In the year 2000, Dr. Matteson and a colleague initiated a thorough investigation into Dr. Friedrich Wegener’s alleged association with National Socialism. Their extensive research involved scouring World War II archives across the globe. Eventually, they uncovered evidence indicating that Dr. Wegener, a Nazi supporter, had worked in close proximity to the Lodz ghetto in Poland and might have performed medical experiments on victims. This revelation prompted several prominent medical organizations to replace “Wegener’s syndrome” with the term “granulomatosis with polyangiitis” in 2011, although the original term can still be found in the ICD-11.

The pursuit of Nazi-named medical terms continued, leading to the discovery that Clara cells, responsible for mucus secretion in the lungs, were originally named after a Nazi doctor who conducted experiments on soon-to-be-executed prisoners. As a result, these cells were renamed club cells to reflect their shape. Similarly, Reiter’s syndrome, a type of arthritis caused by a bacterial infection, had its name changed to “reactive arthritis” after it was revealed that it honored a doctor who conducted deadly typhus experiments on concentration camp prisoners.

In general, the shift towards using descriptive terms instead of eponyms aligns with medicine’s preference for terminology that provides anatomical clarity. Descriptive terms, such as “uterine tube” instead of “fallopian tube,” offer a more informative and precise description of anatomical structures. Furthermore, inconsistent usage of eponyms can potentially lead to medical errors, emphasizing the need for standardized and descriptive nomenclature.

While many anatomists support the abandonment of eponyms, not all agree with this approach. Dr. Sabine Hildebrandt, an anatomy educator at Harvard Medical School, who trained in Germany prior to the revelation of Nazi medical history, sees eponyms as an opportunity to remind future doctors of the dangers that medicine must never repeat. Rather than viewing eponyms as badges of honor, she suggests considering them as historical markers and teaching moments.

In her classroom, Dr. Hildebrandt brings attention to Frey’s syndrome, a rare medical eponym that pays homage to both a female researcher and a Holocaust victim. This neurological condition, characterized by excessive facial sweating during eating, received its name from Lucja Frey-Gottesman, a Polish neurologist who tragically lost her life at the hands of the Nazis in the Lvov ghetto. The inclusion of such eponyms serves as a reminder of the individuals who endured the darkest chapters of history and highlights the importance of acknowledging their contributions.

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