Henry Radcliffe Crocker
Encyclopedia
Henry Radcliffe Crocker, MD
Doctor of Medicine
Doctor of Medicine is a doctoral degree for physicians. The degree is granted by medical schools...

, FRCP
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...

 (6 March 1846 – 22 August 1909) was an English dermatologist. Originally from Hove
Hove
Hove is a town on the south coast of England, immediately to the west of its larger neighbour Brighton, with which it forms the unitary authority Brighton and Hove. It forms a single conurbation together with Brighton and some smaller towns and villages running along the coast...

 in Sussex, Crocker started his working life as an apprentice to a general practitioner
General practitioner
A general practitioner is a medical practitioner who treats acute and chronic illnesses and provides preventive care and health education for all ages and both sexes. They have particular skills in treating people with multiple health issues and comorbidities...

, before going to London to attend the University College Hospital
University College Hospital
University College Hospital is a teaching hospital located in London, United Kingdom. It is part of the University College London Hospitals NHS Foundation Trust and is closely associated with University College London ....

 medical school. Working as a resident medical officer with William Tilbury Fox, Crocker began a lifelong career in dermatology. With his 1888 book Diseases of the Skin: their Description, Pathology, Diagnosis and Treatment, he became known as a leading figure of dermatology.

Early life

Crocker was born in 1846 in Hove
Hove
Hove is a town on the south coast of England, immediately to the west of its larger neighbour Brighton, with which it forms the unitary authority Brighton and Hove. It forms a single conurbation together with Brighton and some smaller towns and villages running along the coast...

, Sussex to Henry and Maria (née Walters) Crocker. His father was a chemist, a career that Crocker at first sought to take up. At 16, he left his private school in Brighton
Brighton
Brighton is the major part of the city of Brighton and Hove in East Sussex, England on the south coast of Great Britain...

 to take up an apprenticeship with a general practitioner
General practitioner
A general practitioner is a medical practitioner who treats acute and chronic illnesses and provides preventive care and health education for all ages and both sexes. They have particular skills in treating people with multiple health issues and comorbidities...

. In 1870 he became a student at University College Hospital
University College Hospital
University College Hospital is a teaching hospital located in London, United Kingdom. It is part of the University College London Hospitals NHS Foundation Trust and is closely associated with University College London ....

 medical school in London. He worked part time as a drug dispenser in Sloane Street
Sloane Street
Sloane Street is a major London street which runs north to south, from Knightsbridge to Sloane Square, crossing Pont Street about half way along, entirely in The Royal Borough of Kensington and Chelsea. Sloane Street takes its name from Sir Hans Sloane, who purchased the surrounding area in 1712...

. As an undergraduate student, Crocker won gold medals in materia medica
Materia medica
Materia medica is a Latin medical term for the body of collected knowledge about the therapeutic properties of any substance used for healing . The term 'materia medica' derived from the title of a work by the Ancient Greek physician Pedanius Dioscorides in the 1st century AD, De materia medica libre...

, clinical medicine and forensic medicine, as well as a university scholarship. Crocker was generally known by his middle name, Radcliffe, and throughout his career this was sometimes mistaken as the first part of his surname.

Medical career

After receiving his Membership of the Royal College of Surgeons
Membership of the Royal College of Surgeons
MRCS is a professional qualification for surgeons in the UK and IrelandIt means Member of the Royal College of Surgeons. In the United Kingdom, doctors who gain this qualification traditionally no longer use the title 'Dr' but start to use the title 'Mr', 'Mrs', 'Miss' or 'Ms'.There are 4 surgical...

 (MRCS) qualification, Bachelor of Science
Bachelor of Science
A Bachelor of Science is an undergraduate academic degree awarded for completed courses that generally last three to five years .-Australia:In Australia, the BSc is a 3 year degree, offered from 1st year on...

 degree and then in 1875 his MD
Doctor of Medicine
Doctor of Medicine is a doctoral degree for physicians. The degree is granted by medical schools...

, Crocker obtainied a position as resident obstetric
Obstetrics
Obstetrics is the medical specialty dealing with the care of all women's reproductive tracts and their children during pregnancy , childbirth and the postnatal period...

 physician and physician's assistant at University College Hospital. He then held posts at the Brompton Hospital for Consumption and Diseases of the Chest
Royal Brompton Hospital
Royal Brompton Hospital is the largest specialist heart and lung centre in the United Kingdom .The hospital is part of Royal Brompton & Harefield NHS Foundation Trust is a national and international specialist heart and lung centre based in Chelsea, London and Harefield, Middlesex...

 and Charing Cross Hospital
Charing Cross Hospital
Charing Cross Hospital is a general, acute hospital located in London, United Kingdom and established in 1818. It is located several miles to the west of the city centre in the London Borough of Hammersmith and Fulham....

 before returning to University College Hospital as resident medical officer. He worked under dermatologist William Tilbury Fox, and began to develop his own dermatological career as assistant medical officer in the hospital's dermatology department. At this time, the practice of specialising in medicine was somewhat frowned upon in the United Kingdom (although more popular in continental Europe), but Tilbury Fox and Crocker were credited with bringing some structure to the field of dermatology.

From 1877, Crocker was a member (and later a fellow) 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...

. Following the death of Tilbury Fox in 1879, Crocker succeeded him as physician in the department of dermatology at University College Hospital. In this position, Crocker was able to devote himself to the study of the skin and its diseases. Although a specialist, in his clinical work, he emphasised the value of treating the whole patient. His research concentrated on the epidemiology of skin diseases and histology
Histology
Histology is the study of the microscopic anatomy of cells and tissues of plants and animals. It is performed by examining cells and tissues commonly by sectioning and staining; followed by examination under a light microscope or electron microscope...

, noting the importance of microscopic inspection of skin cells. During his career, he was the first to describe or name diseases such as granuloma annulare
Granuloma annulare
Granuloma annulare is a chronic skin disease consisting of a rash with reddish bumps arranged in a circle or ring. Granuloma annulare is different from warts, and cryotherapy treatment will not work...

 and erythema elevatum diutinum
Erythema elevatum diutinum
Erythema elevatum diutinum is a form of vasculitis.It has been described as a paraneoplastic syndrome.- References :...

.

In 1888, Crocker published Diseases of the Skin: their Description, Pathology, Diagnosis and Treatment, a textbook that helped to establish him as a leading figure in dermatology.

Diagnosis of the "Elephant Man"

At a meeting of the Pathological Society of London
Pathological Society of London
The Pathological Society of London was founded in 1846 for the "cultivation and promotion of Pathology by the exhibition and description of specimens, drawings, microscopic preparations, casts or models of morbid parts." Its first meeting was held in February 1847...

 in 1885, Crocker was the first to put forward a theory on the condition of Joseph Merrick
Joseph Merrick
Joseph Carey Merrick , sometimes incorrectly referred to as John Merrick, was an English man with severe deformities who was exhibited as a human curiosity named the Elephant Man. He became well known in London society after he went to live at the London Hospital...

, known as the Elephant Man. Merrick was not present at the meeting, but surgeon Frederick Treves
Sir Frederick Treves, 1st Baronet
Sir Frederick Treves, 1st Baronet, GCVO, CH, CB was a prominent British surgeon of the Victorian and Edwardian eras, now most famous for his friendship with Joseph Merrick, "the Elephant Man".-Eminent surgeon:...

, who had examined him, showed photographs. Crocker had also had the opportunity to view Merrick the previous year when he was exhibited at a freak shop
Freak show
A freak show is an exhibition of biological rarities, referred to as "freaks of nature". Typical features would be physically unusual humans, such as those uncommonly large or small, those with both male and female secondary sexual characteristics, people with other extraordinary diseases and...

 on Whitechapel Road. Crocker suggested that Merrick's condition was caused by a combination of dermatolysis and bone deformities, as a result of changes in his nervous system. Crocker included a description of the case of Joseph Merrick in his book, Diseases of the Skin: their Description, Pathology, Diagnosis and Treatment.

Personal life

Crocker married Constance Mary Fussell on 3 April 1880. She was the daughter of Edward Francis Fussell, a medical officer and doctor at Sussex County Hospital. They had no children.

He died on 22 August 1909, aged 63, whilst on holiday in Engelberg
Engelberg
Engelberg is a village in the canton of Obwalden in Switzerland. Engelberg has a population of . , 21.0% of the population was made up of foreign nationals.It is the leading mountain resort in central Switzerland...

, a village in Switzerland. The cause of death was heart failure.
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