Adolph Kußmaul (german: Carl Philipp Adolf Konrad Kußmaul; 22 February 1822 – 28 May 1902) was a German physician and a leading clinician of his time. He was born as the son and grandson of physicians at Graben near

Karlsruhe Karlsruhe ( , , ; South Franconian: ''Kallsruh'') is the third-largest city of the German state (''Land'') of Baden-Württemberg after its capital of Stuttgart and Mannheim, and the 22nd-largest city in the nation, with 308,436 inhabitants. ...

and studied at

Heidelberg Heidelberg (; Palatine German language, Palatine German: ''Heidlberg'') is a city in the States of Germany, German state of Baden-Württemberg, situated on the river Neckar in south-west Germany. As of the 2016 census, its population was 159,914 ...

. He entered the army after graduation and spent two years as an army surgeon. This was followed by a period as a general practitioner before he went to

Würzburg Würzburg (; Main-Franconian: ) is a city in the region of Franconia in the north of the German state of Bavaria. Würzburg is the administrative seat of the ''Regierungsbezirk'' Lower Franconia. It spans the banks of the Main River. Würzburg ...

to study for his

doctorate A doctorate (from Latin ''docere'', "to teach"), doctor's degree (from Latin ''doctor'', "teacher"), or doctoral degree is an academic degree awarded by universities and some other educational institutions, derived from the ancient formalism ''li ...

under Virchow. He was subsequently Professor of Medicine at

(1857),

Erlangen Erlangen (; East Franconian: ''Erlang'', Bavarian: ''Erlanga'') is a Middle Franconian city in Bavaria, Germany. It is the seat of the administrative district Erlangen-Höchstadt (former administrative district Erlangen), and with 116,062 inhab ...

(1859),

Freiburg Freiburg im Breisgau (; abbreviated as Freiburg i. Br. or Freiburg i. B.; Low Alemannic: ''Friburg im Brisgau''), commonly referred to as Freiburg, is an independent city in Baden-Württemberg, Germany. With a population of about 230,000 (as o ...

(1859) and

Straßburg Strasbourg (, , ; german: Straßburg ; gsw, label=Bas Rhin Alsatian, Strossburi , gsw, label= Haut Rhin Alsatian, Strossburig ) is the prefecture and largest city of the Grand Est region of eastern France and the official seat of the Eu ...

(1876). Beyond his medical skills he was also active in literature. He is regarded as one of the creators of the term Biedermeier. He died in Heidelberg.

Eponymous terms

His name continues to be used in

eponym An eponym is a person, a place, or a thing after whom or which someone or something is, or is believed to be, named. The adjectives which are derived from the word eponym include ''eponymous'' and ''eponymic''. Usage of the word The term ''epon ...

s. He described two medical signs and one disease which have eponymous names that remain in use: *

Kussmaul breathing Kussmaul breathing is a deep and labored breathing pattern often associated with severe metabolic acidosis, particularly diabetic ketoacidosis (DKA) but also kidney failure. It is a form of hyperventilation, which is any breathing pattern that red ...

- Very deep and labored breathing with normal, rapid or reduced frequency seen in severe

Diabetic ketoacidosis Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion and occasionally loss of ...

(DKA). * Kussmaul's sign - Paradoxical rise in the Jugular venous pressure (JVP) on inhalation in Constrictive pericarditis or

Chronic obstructive pulmonary disease Chronic obstructive pulmonary disease (COPD) is a type of progressive lung disease characterized by long-term respiratory symptoms and airflow limitation. The main symptoms include shortness of breath and a cough, which may or may not produce ...

(COPD). * Kussmaul disease (Also called Kussmaul-Maier disease) -

Polyarteritis nodosa Polyarteritis nodosa (PAN) is a systemic necrotizing inflammation of blood vessels (vasculitis) affecting medium-sized muscular arteries, typically involving the arteries of the kidneys and other internal organs but generally sparing the lungs' ...

. Named with Rudolf Robert Maier (1824-1888). The following eponymous terms are considered archaic: * Kussmaul's coma - diabetic coma due to ketoacidosis. * Kussmaul's aphasia -

selective mutism Selective mutism (SM) is an anxiety disorder in which a person who is otherwise capable of speech becomes unable to speak when exposed to specific situations, specific places, or to specific people, one or multiple of which serving as triggers. ...

Firsts

* First to describe dyslexia in 1877. (He called it 'word blindness'.) * First to describe

polyarteritis nodosa Polyarteritis nodosa (PAN) is a systemic necrotizing inflammation of blood vessels (vasculitis) affecting medium-sized muscular arteries, typically involving the arteries of the kidneys and other internal organs but generally sparing the lungs' ...

. * First to describe progressive bulbar paralysis. * First to diagnose mesenteric embolism. * First to perform pleural tapping and

gastric lavage Gastric lavage, also commonly called stomach pumping or gastric irrigation, is the process of cleaning out the contents of the stomach. Since its first recorded use in early 19th century, it has become one of the most routine means of eliminating ...

. * First to attempt oesophagoscopy and

gastroscopy Esophagogastroduodenoscopy (EGD) or oesophagogastroduodenoscopy (OGD), also called by various other names, is a diagnostic endoscopic procedure that visualizes the upper part of the gastrointestinal tract down to the duodenum. It is considered ...

. * First to describe the emotional symptoms of mercury exposure as a first stage preceding the physical effects.Buck., Albert H. Cyclopaedia of the Practice of Medicine Vol. XIV Diseases of the Nervous System. New York: William Wood and Company, 1877. 612. Print.

References

External links

Adolf Kussmaul
biography from Who Named It?. {{DEFAULTSORT:Kussmaul, Adolph 1822 births 1902 deaths History of medical imaging People from Karlsruhe (district) Physicians from Baden-Württemberg German surgeons People from the Grand Duchy of Baden University of Erlangen-Nuremberg faculty University of Strasbourg faculty