Frans Van Buchem
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Franciscus Stephanus Petrus (Frans) van Buchem (30 November 1897 – 1 August 1979) was a Dutch
physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
and
professor Professor (commonly abbreviated as Prof.) is an Academy, academic rank at university, universities and other post-secondary education and research institutions in most countries. Literally, ''professor'' derives from Latin as a "person who pr ...
, known for the discovery of
Van Buchem disease Van Buchem disease, or hyperostosis corticalis generalisata, is an autosomal recessive skeletal disease which is characterised by uninhibited bone growth, especially in the mandible, skull and ribs. The disease was first described in 1955 by Prof. ...
, which was named after him. He married Elisabeth Euphemia Maria Christiana Nuijens in January, 1930, aged 32. His PhD thesis was supervised by
Nobel prize The Nobel Prizes ( ; sv, Nobelpriset ; no, Nobelprisen ) are five separate prizes that, according to Alfred Nobel's will of 1895, are awarded to "those who, during the preceding year, have conferred the greatest benefit to humankind." Alfr ...
winner Professor
Willem Einthoven Willem Einthoven (21 May 1860 – 29 September 1927) was a Dutch doctor and physiologist. He invented the first practical electrocardiograph (ECG or EKG) in 1895 and received the Nobel Prize in Physiology or Medicine in 1924 for it ("for the di ...
. Frans was, among other things, the Chief Physician in Internal Medicine of the St Elisabeth Hospital and after the end of World War Two, became a professor of Internal Medicine at the
University of Groningen The University of Groningen (abbreviated as UG; nl, Rijksuniversiteit Groningen, abbreviated as RUG) is a Public university#Continental Europe, public research university of more than 30,000 students in the city of Groningen (city), Groningen in ...
. In 1954, van Buchem diagnosed a patient with what he referred to as hyperosteosis corticales generalisata familiaris, later named Van Buchem disease. A year later, he published an article in
Acta Radiologica ''Acta Radiologica'' is a peer-reviewed medical journal covering the field of radiology, including diagnostic and interventional radiology, clinical radiology, experimental investigations in animals, and all other research related to imaging p ...
on the disease.


Biography


Youth

Frans van Buchem was born on Tuesday, 30 November 1897 in
Wognum Wognum () is a former municipality and a town in the Netherlands, in the province of North Holland. Wognum received City rights in the Netherlands, city rights in 1392 but lost them in 1426. In 2007 it merged with the municipalities of Medemblik a ...
. His parents were Gerardus Johannes van Buchem (1864-1925) and Louia Johanna Josepha van Gemert (1866-1944). Van Buchem was the sixth of a total of twelve children. He attended the Rijks Hogere Burgerschool in
Maastricht Maastricht ( , , ; li, Mestreech ; french: Maestricht ; es, Mastrique ) is a city and a municipality in the southeastern Netherlands. It is the capital and largest city of the province of Limburg. Maastricht is located on both sides of the ...
. After graduating, he studied medicine in
Leiden Leiden (; in English and archaic Dutch also Leyden) is a city and municipality in the province of South Holland, Netherlands. The municipality of Leiden has a population of 119,713, but the city forms one densely connected agglomeration wit ...
.


Internal Medicine Maastricht 1921-1924

After earning his
medical degree A medical degree is a professional degree admitted to those who have passed coursework in the fields of medicine and/or surgery from an accredited medical school. Obtaining a degree in medicine allows for the recipient to continue on into special ...
in 1921, he became assistant to Dr A. Hintzen in the internal medicine department of the Calvarienberg hospital in Maastricht. During this period, the foundation was laid for his research of the electrocardiogram and the heart. Further, his first publication on
diabetes Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ap ...
, which he wrote along with Dr A. Hintzen, is dated within this time.


Leiden and Thesis 1924

Van Buchem earned his doctorate on 5 June 1924, in
Leiden Leiden (; in English and archaic Dutch also Leyden) is a city and municipality in the province of South Holland, Netherlands. The municipality of Leiden has a population of 119,713, but the city forms one densely connected agglomeration wit ...
for his research. His paper was titled "De venapols en naar aanleiding daarvan enige beschouwingen over het hart mechanisme" or "Venous pulses and some reflections on the circulatory system". During his studies, he worked for two years as an assistant to Prof. Dr. J. Boeke (
microscopic anatomy Histology, also known as microscopic anatomy or microanatomy, is the branch of biology which studies the microscopic anatomy of biological tissues. Histology is the microscopic counterpart to gross anatomy, which looks at larger structures vis ...
). His supervisor was the Professor Wilem Einthoven, who received the
Nobel Prize for Physiology or Medicine The Nobel Prize in Physiology or Medicine is awarded yearly by the Nobel Assembly at the Karolinska Institute for outstanding discoveries in physiology or medicine. The Nobel Prize is not a single prize, but five separate prizes that, according ...
on 24 October later that year for the "discovery for the of the mechanism of the electrocardiogram".


Chief Assistant Groningen 1925-1929

After his PhD, van Buchem went to Groningen where he initially worked as an assistant and later as a principal assistant at Polak Daniëls. He trained in
radiology Radiology ( ) is the medical discipline that uses medical imaging to diagnose diseases and guide their treatment, within the bodies of humans and other animals. It began with radiography (which is why its name has a root referring to radiat ...
under the direction of S. Keyser. In addition to a number of clinical publications of various subjects, eight papers were published that related to electrocardiographic research. During this period, he was appointed internist and medical director in Tilburg. Van Buchem worked with architect Ed Cuypers on the plans for St. Elisabeth Hospital. He made several study trips abroad with Cuypers to learn about hospital construction.


Tilburg 1929-1946

In 1929, he moved to Tilburg. During this time, he published a number of papers relating to the X-ray diagnostics of the
oesophagus The esophagus (American English) or oesophagus (British English; both ), non-technically known also as the food pipe or gullet, is an organ in vertebrates through which food passes, aided by peristaltic contractions, from the pharynx to the ...
,
gastrointestinal tract The gastrointestinal tract (GI tract, digestive tract, alimentary canal) is the tract or passageway of the digestive system that leads from the mouth to the anus. The GI tract contains all the major organ (biology), organs of the digestive syste ...
, and the skeleton. During the Second World War, the first edition of his book "Diseases of the heart and blood vessels" was published. He was prominently known as having an attitude of resistance against the Nazis, along with this, his position as internist and later director of the St. Elisabeth Hospital made him a very prominent citizen in Tilburg. For many years, he was the chairman of the Tilburg department of the Royal Netherlands Society for the Promotion of Medicine. His merits were later recognised in his appointment as an honorary member of the Tilburg department.


Groningen 1946-1959

At the age of 48, van Buchem was appointed to the chair for internal medicine in Groningen. He took office with an inaugural lecture on the ‘pathogenesis of diabetes mellitus’. In 1947, the second edition of his "Textbook on diseases of the heart and blood vessels" was published and later in 1950, van Buchem’s second book was published, entitled "Diabetes mellitus".


Urk 1954-1970

In 1954, a patient from
Urk Urk () is a municipality and a town in the Flevoland province in the central Netherlands. Urk is first mentioned in historical records dating to the 10th century, when it was still an island in the Zuiderzee, an inland sea that would become part ...
was admitted with a serious bone disease. The symptoms did not align with the symptoms of any known diseases at the time, and van Buchem began an investigation. A sister of the hospitalised patient was found to have the same disease. In 1955, van Buchem wrote a paper titled "An uncommon familial systemic disease of the skeleton: Hyperostosis corticalis generalisata familiaris" along with H. N. Hadders and R. Ubbens on the two patients, which appeared in Acta Radiologica. The further study of this newly discovered disease was one of the two subjects which dominated the latter years of van Buchem’s scientific research. The disease was named hyperostosis corticalis generalisata but became more widely known as Van Buchem disease or sometimes in foreign literature as Van Buchem’s disease.


Zutphen 1960-1974

The other subject which dominated the latter years of his research was
atherosclerosis Atherosclerosis is a pattern of the disease arteriosclerosis in which the wall of the artery develops abnormalities, called lesions. These lesions may lead to narrowing due to the buildup of atheroma, atheromatous plaque. At onset there are usu ...
. This study concerned a population study into the occurrence of atherosclerotic cardiovascular diseases in
Zutphen Zutphen () is a city and municipality located in the province of Gelderland, Netherlands. It lies some 30 km northeast of Arnhem, on the eastern bank of the river Ijssel at the point where it is joined by the Berkel. First mentioned in the 1 ...
. This interest in blood lipids brought him into contact with Frits Böttcher and together, along with a few others, researched atherosclerosis and the deterioration of human arteries. In 1970, an important contribution on
pathogenesis Pathogenesis is the process by which a disease or disorder develops. It can include factors which contribute not only to the onset of the disease or disorder, but also to its progression and maintenance. The word comes from Greek πάθος ''pat ...
appeared in the Proceedings of the Academy.


As a director

Van Buchem’s managerial qualities were reflected in, among other things, his chairmanship of the Netherlands Society for Cardiology and the Netherlands Health Association. The latter of which he was appointed an honorary member in 1968. During his time as a professor, he made many study trips to the United States, where he became particularly aware of the advancements in
cardiology Cardiology () is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart d ...
and
cardiac surgery Cardiac surgery, or cardiovascular surgery, is surgery on the heart or great vessels performed by cardiac surgeons. It is often used to treat complications of ischemic heart disease (for example, with coronary artery bypass grafting); to corr ...
. In 1952, he was dispatched by the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
as a member of an international team to India, Burma and Ceylon, with the assignment to lecture and advise developments in cardiology.


Trivia

The road that leads from Ringbaan Zuid to the new Elisabeth hospital on Hilvarenbeekseweg in Tilburg, the Prof. van Buchemlaan, is named after him.


References

Dutch physicians Academic staff of the University of Groningen Internal medicine {{DEFAULTSORT:van Buchem, Frans 1897 births 1979 deaths