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A Moment in History

Self-portrait, Henry Vandyke Carter, MD (Public Domain)
Self-portrait, Henry Vandyke Carter, MD (Public Domain)

Henry Vandyke Carter, MD
(1831 – 1897)

English physician, surgeon, medical artist, and a pioneer in leprosy and mycetoma studies.  HV Carter was born in Yorkshire in 1831. He was the son of Henry Barlow Carter, a well-known artist and it is possible that he honed his natural talents with his father. His mother picked his middle name after a famous painter, Anthony Van Dyck. This is probably why his name is sometimes shown as Henry Van Dyke Carter, although the most common presentation of his middle name is Vandyke.

Having problems to finance his medical studies, HV Carter trained as an apothecary and later as an anatomical demonstrator at St. George’s Hospital in London, where he met Henry Gray (1872-1861), who was at the time the anatomical lecturer. Having seen the quality of HV Carter’s drawings, Henry Gray teamed with him to produce one of the most popular and longer-lived anatomy books in history: “Gray’s Anatomy”, which was first published in late 1857.  The book itself, about which many papers have been written, was immediately accepted and praised because of the clarity of the text as well as the incredible drawings of Henry Vandyke Carter.

While working on the book’s drawings, HV Carter continued his studies and received his MD in 1856.

In spite of initially being offered a co-authorship of the book, Dr. Carter was relegated to the position of illustrator by Henry Gray and never saw the royalties that the book could have generated for him. For all his work and dedication, Dr. Carter only received a one-time payment of 150 pounds. Dr.  Carter never worked again with Gray, who died of smallpox only a few years later.

Frustrated, Dr. Carter took the exams for the India Medical Service.  In 1858 he joined as an Assistant Surgeon and later became a professor of anatomy and physiology. Even later he served as a Civil Surgeon. During his tenure with the India Medical Service he attained the ranks of Surgeon, Surgeon-Major, Surgeon-Lieutenant-Colonel, and Brigade-Surgeon.

Dr. Carter dedicated the rest of his life to the study of leprosy, and other ailments typical of India at that time. He held several important offices, including that of Dean of the Medical School of the University of Bombay. In 1890, after his retirement, he was appointed Honorary Physician to the Queen.

Dr. Henry Vandyke Carter died of tuberculosis in 1897.

Personal note: Had history been different, this famous book would have been called “Gray and Carter’s Anatomy” and Dr. Carter never gone to India. His legacy is still seen in the images of the thousands of copies of “Gray’s Anatomy” throughout the world and the many reproductions of his work available on the Internet. We are proud to use some of his images in this blog. The image accompanying this article is a self-portrait of Dr. Carter. Click on the image for a larger depiction. Dr. Miranda

Sources:
1. “Obituary: Henry Vandyke Carter” Br Med J (1897);1:1256-7
2. “The Anatomist: A True Story of ‘Gray’s Anatomy” Hayes W. (2007) USA: Ballantine
3. “A Glimpse of Our Past: Henry Gray’s Anatomy” Pearce, JMS. J Clin Anat (2009) 22:291–295
4. “Henry Gray and Henry Vandyke Carter: Creators of a famous textbook” Roberts S. J Med Biogr (2000) 8:206–212.
5. “Henry Vandyke Carter and his meritorious works in India” Tappa, DM et al. Indian J Dermatol Venereol Leprol (2011) 77:101-3


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Giulio Cesare Aranzio (Arantius)


This article is part of the series "A Moment in History" where we honor those who have contributed to the growth of medical knowledge in the areas of anatomy, medicine, surgery, and medical research.To search all the articles in this series, click here.

Giulio Cesare Aranzio (1530 -1589) Italian surgeon and anatomist. Born in Bologna, Giulio Cesare Aranzio is better known by the Latinized version of his name Julius Caesar Arantius. His Italian last name is sometimes spelled Aranzi.

Born in a poor family, Aranzio began his medical studies under the tutelage of his uncle, Bartolommeo Maggi (1477 – 1552), studied medicine at the University of Bologna where he graduated MD in 1556. The same year he became a Professor of Anatomy and Surgery at the in 1556. Arantius was the first lecturer at the University of Bologna to hold a separate professorship of anatomy. Before him, the University would allow any surgeon to perform dissection and lectures.

Arantius had several publications that include:

Observationes Anatomicas (Anatomical Observations)
De Humano Foetu  Opusculum (On the Human Fetus)
De Tumoribus Secundum Locos Affectos (Tumors according to the affected places)
Hippocratis librum de vulneribus capitis commentarius brevis (Short commentary on Hippocrates’ book on head wounds)

Giulio Cesare Aranzio (Arantius)
Arantius was the first to describe the foramen ovale (fossa ovalis) and the ductus arteriosus, discoveries that were later erroneously ascribed to Leonardo Bottalus (Botal). He also described the nodules in the leaflets of the aortic valve that today bear his name (nodules of Arantius) which he described as being “cartilaginous” in nature. This is not as farfetched as it seems as these nodules can become hypertrophic and harden with age. Arantius was also the first to describe the hippocampus, a formation on the brain associated with the limbic system, mood disorders, and depression.

Arantius was a consummate anatomist and a great surgeon. Apparently he treated nasal polyps, performed nasal reconstructions and a number of surgeries ahead of his time. One of his great anatomical observations was that the blood in the heart did not pass through “invisible pores” in the interventricular septum, but rather exits the heart through the pulmonary trunk, setting the stage for the discovery of circulation by William Harvey (1578 – 1609) We have not been able to find a portrait of Arantius and the only reference is a photograph of a bust with the name “Aranzio” located at the Medical Society in Bologna (Gurunluoglu, 2011)

Sources:
1. “Giulio Cesare Arantius (1530-1589): a surgeon and anatomist: his role in nasal reconstruction and influence on Gaspare Tagliacozzi” . Gurunluoglu R, Gurunluoglu A Ann Plast Surg. 2008 Jun;60(6):717-22
2. “Giulio Cesare Aranzio (Arantius) (1530-89) in the pageant of anatomy and surgery” Gurunluoglu R, Shafighi M, Gurunluoglu A, Cavdar S. J Med Biogr. 2011 May;19(2):63-9
3. “Hippocampus – Why is it studied so frequently?”Radonjic, V. et al Vojnosanit Pregl 2014; 71(2): 195–201
4: “The history of Bolngna University's Medical School over the centuries, A Short Review” Moroni, P. Acta Dermatoven APA Vol 9, 2000, No 2 73-75

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