﻿xli 
  

  

  S1E 
  J. 
  HUTCHINSON, 
  1828-1913. 
  

  

  Sir 
  Jonathan 
  Hutchinson 
  was 
  bom 
  at 
  Selby 
  on 
  July 
  23, 
  1828. 
  He 
  was 
  of 
  

   Quaker 
  parentage, 
  and 
  through 
  his 
  life 
  was 
  a 
  member 
  of 
  that 
  religious 
  body. 
  

   He 
  received 
  the 
  beginnings 
  of 
  his 
  medical 
  education 
  at 
  the 
  York 
  Medical 
  

   School 
  and 
  County 
  Hospital, 
  and 
  he 
  was 
  apprenticed 
  at 
  the 
  age 
  of 
  16 
  in 
  the 
  

   old-fashioned 
  way 
  to 
  a 
  medical 
  practitioner. 
  At 
  the 
  York 
  Medical 
  School 
  he 
  

   came 
  under 
  the 
  influence 
  of 
  an 
  able 
  though 
  eccentric 
  teacher, 
  Dr. 
  Laycock, 
  

   afterwards 
  Professor 
  of 
  Medicine 
  at 
  the 
  University 
  of 
  Edinburgh. 
  It 
  was 
  

   possibly 
  from 
  Laycock 
  that 
  Hutchinson 
  received 
  the 
  impetus 
  towards 
  the 
  

   study 
  of 
  heredity 
  in 
  the 
  causation 
  of 
  disease 
  and 
  the 
  importance 
  of 
  the 
  

   observation 
  of 
  physiognomy 
  in 
  clinical 
  medicine. 
  His 
  medical 
  studies 
  were 
  

   further 
  pursued 
  at 
  St. 
  Bartholomew's 
  Hospital 
  under 
  Sir 
  James 
  Paget, 
  and 
  

   he 
  obtained 
  his 
  qualifying 
  diploma 
  in 
  1850. 
  He 
  thereupon 
  commenced 
  

   practice 
  in 
  the 
  city 
  of 
  London, 
  but 
  his 
  time 
  and 
  energy 
  were 
  rapidly 
  

   absorbed 
  by 
  a 
  succession 
  of 
  hospital 
  appointments. 
  The 
  hospitals 
  for 
  

   diseases 
  of 
  the 
  skin, 
  of 
  the 
  eye, 
  of 
  the 
  genito-urinary 
  organs, 
  of 
  the 
  lungs, 
  

   secured 
  either 
  in 
  turn 
  or 
  contemporaneously 
  his 
  ardent 
  devotion, 
  and 
  it 
  may 
  

   be 
  said 
  that 
  at 
  each 
  one 
  he 
  gained 
  and 
  added 
  some 
  new 
  material 
  for 
  clinical 
  

   medicine. 
  At 
  length 
  he 
  became 
  attached 
  to 
  the 
  staff 
  of 
  the 
  London 
  

   Hospital, 
  where, 
  as 
  a 
  general 
  surgeon 
  till 
  1883, 
  his 
  activities 
  were 
  mainly 
  

   directed. 
  But 
  he 
  continued 
  his 
  devotion 
  to 
  diseases 
  of 
  the 
  eye 
  and 
  of 
  the 
  

   skin 
  more 
  or 
  less 
  during 
  all 
  this 
  period, 
  and 
  his 
  wide 
  multiform 
  experience 
  

   was 
  utilised 
  in 
  teaching, 
  formally 
  or 
  informally, 
  almost 
  to 
  the 
  end 
  of 
  his 
  life. 
  

  

  His 
  most 
  important 
  contributions 
  to 
  medical 
  science 
  concerned 
  syphilis, 
  

   in 
  which 
  it 
  may 
  truly 
  be 
  said 
  that 
  his 
  researches 
  made 
  a 
  definite 
  landmark 
  

   in 
  medical 
  knowledge. 
  

  

  The 
  morbid 
  condition 
  in 
  children, 
  which 
  had 
  previously 
  been 
  designated 
  

   strumous 
  corneitis, 
  he 
  proved 
  to 
  be 
  an 
  interstitial 
  inflammation 
  due 
  to 
  

   inherited 
  syphilis. 
  He 
  showed, 
  further, 
  that 
  this 
  special 
  form 
  of 
  inflamma- 
  

   tion 
  was 
  accompanied 
  by 
  a 
  characteristic 
  alteration 
  of 
  the 
  permanent 
  upper 
  

   median 
  incisor 
  teeth, 
  by 
  a 
  marked 
  physiognomy, 
  and 
  often 
  by 
  a 
  special 
  form 
  

   of 
  deafness. 
  His 
  papers, 
  recording 
  many 
  cases 
  of 
  this 
  clinical 
  group, 
  

   appeared 
  in 
  the 
  Ophthalmic 
  Hospital 
  reports, 
  and 
  were 
  subsequently 
  

   collected 
  in 
  a 
  clinical 
  memoir 
  of 
  very 
  great 
  value. 
  Their 
  conclusions 
  have 
  

   received 
  complete 
  verification 
  and 
  acceptance, 
  and 
  they 
  mark 
  the 
  starting 
  

   point 
  of 
  the 
  later 
  scientific 
  studies 
  on 
  hereditary 
  syphilis. 
  

  

  Hutchinson's 
  article 
  on 
  "Constitutional 
  Syphilis 
  " 
  in 
  ' 
  Eeynolds's 
  System 
  

   of 
  Medicine 
  ' 
  was 
  scarcely 
  less 
  remarkable 
  by 
  way 
  of 
  valuable 
  generalisation 
  

   than 
  his 
  elucidation 
  of 
  the 
  symptomatology 
  of 
  the 
  hereditary 
  form 
  of 
  the 
  

   disease. 
  In 
  this 
  article 
  he 
  maintained 
  that 
  the 
  proper 
  place 
  for 
  syphilis 
  in 
  

   the 
  classification 
  of 
  diseases 
  was 
  side 
  by 
  side 
  with 
  the 
  acute 
  infectious 
  fevers. 
  

   He 
  claimed 
  syphilis 
  as 
  a 
  " 
  thinned 
  out 
  " 
  fever, 
  with 
  its 
  incubation, 
  its 
  acute 
  

  

  VOL. 
  XCI. 
  — 
  B. 
  g 
  

  

  