Armand Trousseau (; 14 October 1801 – 23 June 1867) was a French
internist. His contributions to medicine include
Trousseau sign of malignancy,
Trousseau sign of latent tetany, Trousseau–Lallemand bodies (an archaic synonym for
Bence Jones proteins). He is sometimes credited with the quip "use new drugs quickly, while they still work", though
Michel-Philippe Bouvart had said the same over 40 years earlier.
[Gaston de Lévis, ''Souvenirs et portraits, 1780-1789'', 1813]
p. 240
/ref>
Biography
A native of Tours
Tours ( ; ) is the largest city in the region of Centre-Val de Loire, France. It is the Prefectures in France, prefecture of the Departments of France, department of Indre-et-Loire. The Communes of France, commune of Tours had 136,463 inhabita ...
, Indre-et-Loire, Armand Trousseau began his medical studies in his native town as a pupil of Pierre Fidele Bretonneau at the local general hospital. He later continued his studies in Paris, where he received his doctorate in 1825 and became adjunct faculty in 1827. In 1828, the French government assigned him to investigate epidemics ravaging some parts of southern France. After completing his mission the same year, Trousseau travelled to Gibraltar
Gibraltar ( , ) is a British Overseas Territories, British Overseas Territory and British overseas cities, city located at the southern tip of the Iberian Peninsula, on the Bay of Gibraltar, near the exit of the Mediterranean Sea into the A ...
as a member of a commission to investigate yellow fever. This work, and a monograph on laryngeal phthisis, led to his early recognition in Paris.
In 1830 Trousseau became ''Médecin des hôpitaux'' through concours, and in 1832 received a position in public health with the central bureau while working as a physician in the Hôtel-Dieu under Joseph Claude Anthelme Récamier. In 1837 he received the great prize of the academy. In 1839 he was appointed physician at the Hôpital St. Antoine and eventually became Chair of therapy and pharmacology at the Paris medical faculty. In 1850 he assumed the Chair of clinical medicine and again commenced working in the Hôtel-Dieu. He was also active in politics, particularly after the French Revolution of 1848
The French Revolution of 1848 (), also known as the February Revolution (), was a period of civil unrest in France, in February 1848, that led to the collapse of the July Monarchy and the foundation of the French Second Republic. It sparked t ...
, holding several positions including being a member of the legislative body. During his later years Trousseau developed gastric cancer
Stomach cancer, also known as gastric cancer, is a malignant tumor of the stomach. It is a cancer that develops in the lining of the stomach. Most cases of stomach cancers are gastric carcinomas, which can be divided into a number of subtypes ...
. Coincidentally, he previously described Trousseau sign of malignancy and developed a similar finding in himself. This cancer limited his activities and eventually proved fatal.
Legacy
Trousseau was instrumental in creating new modes of treatment of croup
Croup ( ), also known as croupy cough, is a type of respiratory infection that is usually caused by a virus. The infection leads to swelling inside the trachea, which interferes with normal breathing and produces the classic symptoms of "bar ...
, emphysema
Emphysema is any air-filled enlargement in the body's tissues. Most commonly emphysema refers to the permanent enlargement of air spaces (alveoli) in the lungs, and is also known as pulmonary emphysema.
Emphysema is a lower respiratory tract di ...
, pleurisy
Pleurisy, also known as pleuritis, is inflammation of the membranes that surround the lungs and line the chest cavity (Pulmonary pleurae, pleurae). This can result in a sharp chest pain while breathing. Occasionally the pain may be a constant d ...
, goiter, and malaria
Malaria is a Mosquito-borne disease, mosquito-borne infectious disease that affects vertebrates and ''Anopheles'' mosquitoes. Human malaria causes Signs and symptoms, symptoms that typically include fever, Fatigue (medical), fatigue, vomitin ...
. He received the prize of the French Academy of Medicine for his classic essay on laryngology which originally appeared in 1837. He was the first in France to perform a tracheotomy
Tracheotomy (, ), or tracheostomy, is a surgical airway management procedure which consists of making an incision on the front of the neck to open a direct airway to the trachea. The resulting stoma (hole) can serve independently as an airway ...
, and he wrote a monograph on this as well as intubation
Intubation (sometimes entubation) is a medical procedure involving the insertion of a tube into the body. Most commonly, intubation refers to tracheal intubation, a procedure during which an endotracheal tube is inserted into the trachea to supp ...
in 1851. His textbooks on clinical medicine and therapeutics were both extremely popular and translated into English. Trousseau coined the terms aphasia
Aphasia, also known as dysphasia, is an impairment in a person's ability to comprehend or formulate language because of dysfunction in specific brain regions. The major causes are stroke and head trauma; prevalence is hard to determine, but aph ...
and '' forme fruste'' and popularized eponym
An eponym is a noun after which or for which someone or something is, or is believed to be, named. Adjectives derived from the word ''eponym'' include ''eponymous'' and ''eponymic''.
Eponyms are commonly used for time periods, places, innovati ...
s in disease description such as Addison's disease
Addison's disease, also known as primary adrenal insufficiency, is a rare long-term endocrine disorder characterized by inadequate production of the steroid hormones cortisol and aldosterone by the two outer layers of the cells of the adr ...
and Hodgkin's lymphoma
Hodgkin lymphoma (HL) is a type of lymphoma in which cancer originates from a specific type of white blood cell called lymphocytes, where multinucleated Reed–Sternberg cells (RS cells) are present in the lymph nodes. The condition was named a ...
.
In 1833, Trousseau invented the Trousseau Tracheal Dilator, a blunt-nosed forceps designed to allow easier access to a tracheostomy
Tracheotomy (, ), or tracheostomy, is a surgical airway management procedure which consists of making an incision on the front of the neck to open a direct airway to the trachea. The resulting stoma (hole) can serve independently as an airway ...
stoma
In botany, a stoma (: stomata, from Greek language, Greek ''στόμα'', "mouth"), also called a stomate (: stomates), is a pore found in the Epidermis (botany), epidermis of leaves, stems, and other organs, that controls the rate of gas exc ...
.
Trousseau was considered an outstanding teacher. Numerous students of his achieved fame in their own right, including Puerto Rican pro-independence leader, surgeon and Légion d'honneur
The National Order of the Legion of Honour ( ), formerly the Imperial Order of the Legion of Honour (), is the highest and most prestigious French national order of merit, both military and Civil society, civil. Currently consisting of five cl ...
laureate, Ramón Emeterio Betances.[Ojeda Reyes, Félix, ''El Desterrado de París'', pp. 20, 29–30] Trousseau’s son Georges Phillipe Trousseau (1833–1894) became the royal doctor of the Kingdom of Hawaii
The Hawaiian Kingdom, also known as the Kingdom of Hawaiʻi (Hawaiian language, Hawaiian: ɛ ɐwˈpuni həˈvɐjʔi, was an Archipelagic state, archipelagic country from 1795 to 1893, which eventually encompassed all of the inhabited Hawaii ...
, and Armand's grandson was the distinguished ophthalmologist
Ophthalmology (, ) is the branch of medicine that deals with the diagnosis, treatment, and surgery of eye diseases and disorders.
An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a ...
Armand Henri Trousseau (1856–1910).
References
External links
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{{DEFAULTSORT:Trousseau, Armand
1801 births
1867 deaths
Scientists from Tours, France
19th-century French physicians
Deputies of Eure-et-Loir
Deaths from stomach cancer in France
Burials at Père Lachaise Cemetery