Samuel Wilks
Encyclopedia
Sir Samuel Wilks, 1st Baronet (2 June 1824 - 8 November 1911), was a British physician and biographer.

Early life

Samuel Wilks was born on 2 June 1824 in Camberwell, London, the second son of Joseph Barber Wilks, a cashier at the East India House. After attending Aldenham School
Aldenham School
Aldenham School is a co-educational independent school for pupils aged thirteen to eighteen, located between Elstree and the village of Aldenham in Hertfordshire, England...

 and University College School
University College School
University College School, generally known as UCS, is an Independent school charity situated in Hampstead, north west London, England. The school was founded in 1830 by University College London and inherited many of that institution's progressive and secular views...

 he was apprenticed to Richard Prior, a doctor in Newington.

Career

In 1842 he entered Guy's Hospital
Guy's Hospital
Guy's Hospital is a large NHS hospital in the borough of Southwark in south east London, England. It is administratively a part of Guy's and St Thomas' NHS Foundation Trust. It is a large teaching hospital and is home to the King's College London School of Medicine...

 to study medicine. After graduating MB in 1848 he was hired as a physician to the Surrey Infirmary (1853). In 1856 he returned to Guy's Hospital, first as assistant physician and curator
Curator
A curator is a manager or overseer. Traditionally, a curator or keeper of a cultural heritage institution is a content specialist responsible for an institution's collections and involved with the interpretation of heritage material...

 of its Museum (a post he held for nine years), then as physician and lecturer on Medicine (1857). From 1866 to 1870 he was Examiner in the Practice of Medicine at the University of London
University of London
-20th century:Shortly after 6 Burlington Gardens was vacated, the University went through a period of rapid expansion. Bedford College, Royal Holloway and the London School of Economics all joined in 1900, Regent's Park College, which had affiliated in 1841 became an official divinity school of the...

 and from 1868 to 1875 Examiner in Medicine at the Royal College of Surgeons
Royal College of Surgeons of England
The Royal College of Surgeons of England is an independent professional body and registered charity committed to promoting and advancing the highest standards of surgical care for patients, regulating surgery, including dentistry, in England and Wales...

.

Achievements

Among his major discoveries, Wilks recognized ulcerative colitis
Ulcerative colitis
Ulcerative colitis is a form of inflammatory bowel disease . Ulcerative colitis is a form of colitis, a disease of the colon , that includes characteristic ulcers, or open sores. The main symptom of active disease is usually constant diarrhea mixed with blood, of gradual onset...

 in 1859, differentiating it from bacterial dysentery
Dysentery
Dysentery is an inflammatory disorder of the intestine, especially of the colon, that results in severe diarrhea containing mucus and/or blood in the faeces with fever and abdominal pain. If left untreated, dysentery can be fatal.There are differences between dysentery and normal bloody diarrhoea...

. His work was confirmed later (1931) by Sir Arthur Hirst. Wilks autopsy
Autopsy
An autopsy—also known as a post-mortem examination, necropsy , autopsia cadaverum, or obduction—is a highly specialized surgical procedure that consists of a thorough examination of a corpse to determine the cause and manner of death and to evaluate any disease or injury that may be present...

 of a 42 year-old woman who died after several months of diarrhea
Diarrhea
Diarrhea , also spelled diarrhoea, is the condition of having three or more loose or liquid bowel movements per day. It is a common cause of death in developing countries and the second most common cause of infant deaths worldwide. The loss of fluids through diarrhea can cause dehydration and...

 and fever
Fever
Fever is a common medical sign characterized by an elevation of temperature above the normal range of due to an increase in the body temperature regulatory set-point. This increase in set-point triggers increased muscle tone and shivering.As a person's temperature increases, there is, in...

 demonstrated a transmural ulcerative inflammation
Inflammation
Inflammation is part of the complex biological response of vascular tissues to harmful stimuli, such as pathogens, damaged cells, or irritants. Inflammation is a protective attempt by the organism to remove the injurious stimuli and to initiate the healing process...

 of the colon
Colon (anatomy)
The colon is the last part of the digestive system in most vertebrates; it extracts water and salt from solid wastes before they are eliminated from the body, and is the site in which flora-aided fermentation of unabsorbed material occurs. Unlike the small intestine, the colon does not play a...

 and terminal ileum
Ileum
The ileum is the final section of the small intestine in most higher vertebrates, including mammals, reptiles, and birds. In fish, the divisions of the small intestine are not as clear and the terms posterior intestine or distal intestine may be used instead of ileum.The ileum follows the duodenum...

.

Wilks also firstly described trichorrhexis nodosa
Trichorrhexis nodosa
Trichorrhexis nodosa is a defect in the hair shaft characterized by thickening or weak points that cause the hair to break off easily. This group of conditions contributes to the appearance of hair loss, lack of growth, and damaged-looking hair....

 (the formation of nodes along the hair shaft), in 1852. The term was proposed in 1876 by Moritz Kaposi (1837–1902), an Hungarian
Hungary
Hungary , officially the Republic of Hungary , is a landlocked country in Central Europe. It is situated in the Carpathian Basin and is bordered by Slovakia to the north, Ukraine and Romania to the east, Serbia and Croatia to the south, Slovenia to the southwest and Austria to the west. The...

 dermatologist. Subsequently, in 1868, he published the characteristic mental symptoms on alcoholic paraplegia
Paraplegia
Paraplegia is an impairment in motor or sensory function of the lower extremities. The word comes from Ionic Greek: παραπληγίη "half-striking". It is usually the result of spinal cord injury or a congenital condition such as spina bifida that affects the neural elements of the spinal canal...

 (later to be named Korsakoff's syndrome
Korsakoff's syndrome
Korsakoff's syndrome is a neurological disorder caused by the lack of thiamine in the brain. Its onset is linked to chronic alcohol abuse and/or severe malnutrition...

). Wilks described the first case of myasthenia gravis
Myasthenia gravis
Myasthenia gravis is an autoimmune neuromuscular disease leading to fluctuating muscle weakness and fatiguability...

, in 1877 (it was named "bulbar paralysis" in Guy's Hospital Reports 22:7).

He was a collaborator and biographer of the "Three Great", contemporary physicians who worked at Guy's Hospital, Dr. Thomas Addison
Thomas Addison
Thomas Addison was a renowned 19th-century English physician and scientist. He is traditionally regarded as one of the "great men" of Guy's Hospital in London....

, the discoverer of Addison's disease
Addison's disease
Addison’s disease is a rare, chronic endocrine disorder in which the adrenal glands do not produce sufficient steroid hormones...

, Dr. Richard Bright
Richard Bright (physician)
Richard Bright was an English physician and early pioneer in the research of kidney disease.He was born in Bristol, Gloucestershire, the third son of Sarah and Richard Bright Sr., a wealthy merchant and banker. Bright Sr. shared his interest in science with his son,encouraging him to consider it...

, discoverer of Bright's disease
Bright's disease
Bright's disease is a historical classification of kidney diseases that would be described in modern medicine as acute or chronic nephritis. The term is no longer used, as diseases are now classified according to their more fully understood causes....

 and Dr. Thomas Hodgkin
Thomas Hodgkin
Thomas Hodgkin was a British physician, considered one of the most prominent pathologists of his time and a pioneer in preventive medicine. He is now best known for the first account of Hodgkin's disease, a form of lymphoma and blood disease, in 1832...

, discoverer of Hodgkin's lymphoma
Hodgkin's lymphoma
Hodgkin's lymphoma, previously known as Hodgkin's disease, is a type of lymphoma, which is a cancer originating from white blood cells called lymphocytes...

. After the death of Addison in 1860, he carried out the job of examining specimens from all over the country in order to confirm the diagnosis of Addison's disease and thus was able to amass a large case archive. He also rediscovered and confirmed the existence of Hodgkin's lymphoma, at the same time recognizing Hodgkin's priority and proposing the eponym
Eponym
An eponym is the name of a person or thing, whether real or fictitious, after which a particular place, tribe, era, discovery, or other item is named or thought to be named...

.

Honours and Awards

Among his many services and honors, Wilks was elected a Fellow of the Royal Society in June 1870; was President of the Pathological Society (1881–1882); President of the Neurological Society (1887); member of the Senate of the University of London (1887–1900); member of the General Medicine Council (1887–1896) and President of the Royal College of Physicians
Royal College of Physicians
The Royal College of Physicians of London was founded in 1518 as the College of Physicians by royal charter of King Henry VIII in 1518 - the first medical institution in England to receive a royal charter...

 (1896–1899). He was named Physician Extraordinary to Queen Victoria
Victoria of the United Kingdom
Victoria was the monarch of the United Kingdom of Great Britain and Ireland from 20 June 1837 until her death. From 1 May 1876, she used the additional title of Empress of India....

 in 1897. The following year he was created a Baronet, of Grosvenor Street in the Parish of Saint George Hanover Square
St George Hanover Square
St George's, Hanover Square, is an Anglican church in central London, built in the early 18th century. The church was designed by John James and was constructed under a project to build fifty new churches around London . It is situated on Hanover Square, near Oxford Circus, in what is now...

in the County of London.

Later life

In later life he suffered a stroke and was terminally paraplegic. He died aged 87 at his home in Hampstead on November 8, 1911. After his death the baronetcy became extinct. He had married Mrs.Elizabeth Anne Prior, widow of previous employer Richard Prior and they had no children.

Publications

  • Lectures on Pathological Anatomy, 1869
  • Lectures on the Specific Fevers and on Diseases of the Chest, 1874
  • Lectures on Diseases of the Nervous System, 1878
  • Lectures on Pathology Delivered at the London Hospital. J & A Churchill, London, 1891.
  • A Biographical History of Guy's Hospital , 1892

External links

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