Forgotten and found: A case of childhood rickets in the 19th-century settler village of Heuvelton, New York

IF 1.3 3区 地球科学 Q3 PALEONTOLOGY International Journal of Paleopathology Pub Date : 2023-03-01 DOI:10.1016/j.ijpp.2023.01.001
Mindy C. Pitre , Madeleine Mant , Timothy Abel , Linda Johnson Wood
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Abstract

Objective

To evaluate pathological lesions suggesting the presence of rickets and to place the diagnosis into bioarchaeological and historical context.

Materials

The remains of a 3-year ± 12-month-old child discovered during a rescue excavation in Heuvelton, New York.

Methods

We examined the individual macroscopically and conducted a differential diagnosis following established protocols in the palaeopathological literature.

Results

Bony change on the orbits, mandible, ribs, clavicles, left scapula, humerii, radii, ulnae, femora, tibiae, fibulae (e.g., porosity, diaphyseal thickening, flaring, bowing), and dental lesions were recorded.

Conclusions

We demonstrate that the child likely presented with vitamin D deficiency rickets during crawling and as they learned to walk.

Significance

This example offers an important contribution to the bioarchaeological literature, as few cases of rickets have been recorded in rural North America using updated diagnostic criteria and little is known of the health and lifeways of early settlers in 19th-century upstate New York.

Limitations

It is not possible to ascertain the precise aetiology of this child’s rachitic state and to compare this individual with others in the population.

Suggestions for further research

Examination (and re-assessment) of other North and South American skeletal assemblages for signs of vitamin D deficiency rickets following current bioarchaeological standards.

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被遗忘又被发现:19世纪纽约Heuvelton移民村的一个儿童佝偻病病例
目的评价提示佝偻病存在的病理病变,并将其诊断纳入生物考古学和历史背景。材料在纽约Heuvelton的一次救援挖掘中发现了一个3岁±12个月大的孩子的遗体。方法:我们对个体进行宏观检查,并根据古病理学文献中的既定方案进行鉴别诊断。结果眼眶、下颌骨、肋骨、锁骨、左肩胛骨、肱骨、桡骨、尺骨、股骨、胫骨、腓骨的骨变化(如孔隙、骨干增厚、变宽、弯曲)及牙损。结论:我们证明,儿童可能在爬行和学习走路期间出现维生素D缺乏性佝偻病。这个例子为生物考古文献提供了重要的贡献,因为使用最新的诊断标准在北美农村记录的佝偻病病例很少,并且对19世纪纽约北部早期定居者的健康和生活方式知之甚少。局限性:无法确定该儿童佝偻病的确切病因,也无法将其与人群中的其他人进行比较。对进一步研究的建议根据现行生物考古标准检查(和重新评估)其他北美和南美骨骼组合是否有维生素D缺乏性佝偻病的迹象。
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来源期刊
CiteScore
2.90
自引率
25.00%
发文量
43
期刊介绍: Paleopathology is the study and application of methods and techniques for investigating diseases and related conditions from skeletal and soft tissue remains. The International Journal of Paleopathology (IJPP) will publish original and significant articles on human and animal (including hominids) disease, based upon the study of physical remains, including osseous, dental, and preserved soft tissues at a range of methodological levels, from direct observation to molecular, chemical, histological and radiographic analysis. Discussion of ways in which these methods can be applied to the reconstruction of health, disease and life histories in the past is central to the discipline, so the journal would also encourage papers covering interpretive and theoretical issues, and those that place the study of disease at the centre of a bioarchaeological or biocultural approach. Papers dealing with historical evidence relating to disease in the past (rather than history of medicine) will also be published. The journal will also accept significant studies that applied previously developed techniques to new materials, setting the research in the context of current debates on past human and animal health.
期刊最新文献
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