Maxwell Wintrobe
Encyclopedia
Dr Maxwell Myer Wintrobe (October 27, 1901-December 9, 1986) was an Austrian-born physician who was a 20th century authority in the medical field of hematology
Hematology
Hematology, also spelled haematology , is the branch of biology physiology, internal medicine, pathology, clinical laboratory work, and pediatrics that is concerned with the study of blood, the blood-forming organs, and blood diseases...

. His textbook on hematology was the first dedicated work in the field, and he contributed to the diagnosic approach of anemia
Anemia
Anemia is a decrease in number of red blood cells or less than the normal quantity of hemoglobin in the blood. However, it can include decreased oxygen-binding ability of each hemoglobin molecule due to deformity or lack in numerical development as in some other types of hemoglobin...

 and copper
Copper
Copper is a chemical element with the symbol Cu and atomic number 29. It is a ductile metal with very high thermal and electrical conductivity. Pure copper is soft and malleable; an exposed surface has a reddish-orange tarnish...

 metabolism, amongst many other achievements.

Biography

Wintrobe was born in Austria (Fred 2007), contrary to previous historical records. His family name of reflects the Jewish origin of his parents, Herman and Ethel, who emigrated from Austria with their son Max in 1906. Canadian census records show that the family arrived in Halifax, Nova Scotia
City of Halifax
Halifax is a city in Canada, which was the capital of the province of Nova Scotia and shire town of Halifax County. It was the largest city in Atlantic Canada until it was amalgamated into Halifax Regional Municipality in 1996...

 in 1906 where Ethel's four brothers were living at the time. The family moved to Manitoba in 1912. Wintrobe attended the University of Manitoba
University of Manitoba
The University of Manitoba , in Winnipeg, Manitoba, Canada, is the largest university in the province of Manitoba. It is Manitoba's most comprehensive and only research-intensive post-secondary educational institution. It was founded in 1877, making it Western Canada’s first university. It placed...

 from the early age of fifteen, where he graduated in 1921 and obtained his M.D.
Doctor of Medicine
Doctor of Medicine is a doctoral degree for physicians. The degree is granted by medical schools...

 in 1926. He married Becky Zamphir, and moved to the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

, where he obtained a PhD
PHD
PHD may refer to:*Ph.D., a doctorate of philosophy*Ph.D. , a 1980s British group*PHD finger, a protein sequence*PHD Mountain Software, an outdoor clothing and equipment company*PhD Docbook renderer, an XML renderer...

 at Tulane University
Tulane University
Tulane University is a private, nonsectarian research university located in New Orleans, Louisiana, United States...

 in New Orleans, Louisiana
New Orleans, Louisiana
New Orleans is a major United States port and the largest city and metropolitan area in the state of Louisiana. The New Orleans metropolitan area has a population of 1,235,650 as of 2009, the 46th largest in the USA. The New Orleans – Metairie – Bogalusa combined statistical area has a population...

 in 1929 (titled "The Erythrocyte in Man").

Initially working in Johns Hopkins Hospital
Johns Hopkins Hospital
The Johns Hopkins Hospital is the teaching hospital and biomedical research facility of Johns Hopkins University School of Medicine, located in Baltimore, Maryland . It was founded using money from a bequest by philanthropist Johns Hopkins...

, where he served on the faculty, he was appointed as professor of internal medicine
Internal medicine
Internal medicine is the medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. Physicians specializing in internal medicine are called internists. They are especially skilled in the management of patients who have undifferentiated or multi-system disease processes...

 at the College of Medicine of the University of Utah
University of Utah
The University of Utah, also known as the U or the U of U, is a public, coeducational research university in Salt Lake City, Utah, United States. The university was established in 1850 as the University of Deseret by the General Assembly of the provisional State of Deseret, making it Utah's oldest...

 in 1943; he also served as the first Chairman of the Department of Medicine and physician-in-chief for the Salt Lake County General Hospital.

In Salt Lake City he led research in hereditary and metabolic disorders (1945–1973) and cardiovascular research (1969–1973). He retired officially in 1965, but remained in function until 1973 (Valentine 1990). In that year he was elected to the National Academy of Sciences
United States National Academy of Sciences
The National Academy of Sciences is a corporation in the United States whose members serve pro bono as "advisers to the nation on science, engineering, and medicine." As a national academy, new members of the organization are elected annually by current members, based on their distinguished and...

.

Works

In New Orleans, Wintrobe pioneered new ways of measuring the hematocrit
Hematocrit
The hematocrit or packed cell volume or erythrocyte volume fraction is the percentage of the concentration of red blood cells in blood. It is normally about 45% for men and 40% for women...

, including what are now known as Wintrobe indices: mean cell volume, mean cell hemoglobin, and mean cell hemoglobin concentration, all quantitative measures of the red blood cell
Red blood cell
Red blood cells are the most common type of blood cell and the vertebrate organism's principal means of delivering oxygen to the body tissues via the blood flow through the circulatory system...

 population (Wintrobe 1932). Much of this work continued in Hopkins and Utah, where he also worked on pernicious anemia
Pernicious anemia
Pernicious anemia is one of many types of the larger family of megaloblastic anemias...

, copper
Copper
Copper is a chemical element with the symbol Cu and atomic number 29. It is a ductile metal with very high thermal and electrical conductivity. Pure copper is soft and malleable; an exposed surface has a reddish-orange tarnish...

 metabolism and Wilson's disease
Wilson's disease
Wilson's disease or hepatolenticular degeneration is an autosomal recessive genetic disorder in which copper accumulates in tissues; this manifests as neurological or psychiatric symptoms and liver disease...

, sickle-cell disease
Sickle-cell disease
Sickle-cell disease , or sickle-cell anaemia or drepanocytosis, is an autosomal recessive genetic blood disorder with overdominance, characterized by red blood cells that assume an abnormal, rigid, sickle shape. Sickling decreases the cells' flexibility and results in a risk of various...

 and other anemia
Anemia
Anemia is a decrease in number of red blood cells or less than the normal quantity of hemoglobin in the blood. However, it can include decreased oxygen-binding ability of each hemoglobin molecule due to deformity or lack in numerical development as in some other types of hemoglobin...

s.

Wintrobe was the principal editor of Clinical Hematology, which first appeared in 1942 and is in its eleventh edition (Greer et al. ), still bearing his name. He was part of the team that pioneered the use of chemotherapy
Chemotherapy
Chemotherapy is the treatment of cancer with an antineoplastic drug or with a combination of such drugs into a standardized treatment regimen....

 in cancer
Cancer
Cancer , known medically as a malignant neoplasm, is a large group of different diseases, all involving unregulated cell growth. In cancer, cells divide and grow uncontrollably, forming malignant tumors, and invade nearby parts of the body. The cancer may also spread to more distant parts of the...

 (Goodman et al. 1946). He was one of the editors of the first edition (1950) of Harrison's Principles of Internal Medicine
Harrison's Principles of Internal Medicine
Harrison's Principles of Internal Medicine is an American textbook of internal medicine. First published in 1950, it is presently in its eighteenth edition...

.

In 1980 he published Blood, pure and eloquent, and in 1985 appeared Hematology, the Blossoming of a Science. Both works are historical overviews of his field.

External links

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