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Growing up in the suburbs: Growth faltering and disease burden in the children from 16th to 18th century Tallinn, Estonia 在郊区长大:16 至 18 世纪爱沙尼亚塔林儿童的发育迟缓和疾病负担
IF 1 3区 历史学 Q1 Arts and Humanities Pub Date : 2023-11-27 DOI: 10.1002/oa.3270
Linda Vilumets, Ülle Aguraiuja-Lätti, Mary Lewis

This paper presents the results of the first large-scale study of children from early modern northern Estonia. A total of 191 non-adults (<17 years) from the 16th–18th century Tõnismägi cemetery in the suburbs of Tallinn were analyzed to gain a better understanding of the health and living environment of these low-status children. This was achieved through growth analysis and palaeopathological investigation of metabolic and respiratory diseases such as scurvy, vitamin D deficiency, and tuberculosis. Growth disruption was shown to be the most severe among non-adults aged between 4 and 9 years and comparable to children living in post-medieval London. It is unlikely that the children from Tallinn would have experienced the same level of industrial hazards as those in London, but poor socioeconomic status, an impoverished diet, and unsanitary living conditions in the suburbs had a detrimental effect on the growth of these non-adults. This was supported by a statistically significant correlation between growth faltering and respiratory infections and evidence for scurvy in 40% of the infants (n = 30). The most likely cause was early weaning and a diet devoid of vitamin C, induced by poverty and cultural practices. The prevalence of rickets was much lower when compared with other post-medieval populations in Europe, at just 1.2%. This suggests that children living in Tallinn were not deprived of sunlight and may have had access to more green spaces.

本文介绍了首次对现代早期北爱沙尼亚儿童进行大规模研究的结果。为了更好地了解这些地位低下的儿童的健康状况和生活环境,我们对塔林郊区 16-18 世纪 Tõnismägi 墓地中的 191 名非成年人(小于 17 岁)进行了分析。这是通过生长分析以及对坏血病、维生素 D 缺乏症和肺结核等代谢和呼吸系统疾病的古病理学调查来实现的。结果表明,4 至 9 岁的非成年人的生长障碍最为严重,与生活在中世纪后伦敦的儿童相当。塔林的儿童不太可能经历与伦敦儿童相同程度的工业危害,但社会经济地位低下、饮食贫乏以及郊区不卫生的生活条件对这些非成年人的生长产生了不利影响。在 40% 的婴儿(n = 30)中,生长迟缓与呼吸道感染和坏血病之间存在统计学意义上的显著相关性,也证明了这一点。最有可能的原因是贫困和文化习俗导致的过早断奶和缺乏维生素 C 的饮食。与欧洲其他中世纪后的人群相比,佝偻病的发病率要低得多,仅为 1.2%。这表明生活在塔林的儿童并没有被剥夺阳光,而且可能有更多的绿地。
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引用次数: 0
Dental wear in a marine economy: A case study from Philistine Ashkelon 海洋经济中的牙齿磨损:非利士人阿什凯隆的案例研究
IF 1 3区 历史学 Q1 Arts and Humanities Pub Date : 2023-11-21 DOI: 10.1002/oa.3269
Rachel Kalisher, Daniel M. Master, Shara E. Bailey, Timothy G. Bromage

In the Iron Age IIA Philistine cemetery at Ashkelon (modern Israel), roughly 11% of individuals exhibit severe and highly variable dental wear, which we explore here at two timescales: wear that accumulates over days and weeks (microwear) and wear that accumulates over months and years (macrowear). Using teeth from both adult and nonadult individuals, we first established categories of dental macrowear patterns and sorted individuals within them. We then made replicas of the teeth from 27 individuals having both typical and atypical dental wear and performed metrology by noncontact profilometry on a reflected light microscope. We then calculated each tooth's surface roughness (Sa) and collected qualitative observations of teeth within each macrowear category. Our findings show no macrowear or microwear pattern exclusive to sex or age group. Likewise, there are no statistically significant differences (p < 0.05) in Sa between adult males and females, and sampled nonadults fall within two standard deviations of the pooled adult means. The microscopic surfaces of all teeth show a wide variety of textures on the occlusal surfaces, including wavy striations, deep parallel striations, globular pitting, and newly described rectangular pits. These results indicate that individuals used their teeth as a third hand while manipulating objects and that children also participated in these activities. Due to the similarities in dental wear between Ashkelon and other coastal populations, we conclude that the observed wear patterns arose from the performance of specialized tasks for a marine-based economy.

在阿什凯隆(现代以色列)的铁器时代 IIA 非利士人墓地中,约有 11% 的个体表现出严重且多变的牙齿磨损,我们在此从两个时间尺度对其进行了探讨:数天和数周内累积的磨损(微磨损)以及数月和数年内累积的磨损(大磨损)。利用成年和非成年个体的牙齿,我们首先确定了牙齿宏观磨损模式的类别,并对其中的个体进行了分类。然后,我们复制了 27 个具有典型和非典型牙齿磨损的个体的牙齿,并在反射光显微镜上使用非接触式轮廓测量法进行测量。然后,我们计算了每颗牙齿的表面粗糙度 (Sa),并收集了每个宏观磨损类别中牙齿的定性观察结果。我们的研究结果表明,宏观磨损或微观磨损模式并不局限于性别或年龄组。同样,成年男性和女性的 Sa 在统计学上也没有显著差异(p < 0.05),非成年取样的结果与成年取样的平均值相差两个标准差。所有牙齿的微观表面都显示出咬合面上的各种纹理,包括波状条纹、深平行条纹、球状凹坑和新描述的矩形凹坑。这些结果表明,人在摆弄物品时把牙齿当作第三只手来使用,儿童也参与了这些活动。由于阿什凯隆和其他沿海居民牙齿磨损的相似性,我们得出结论认为,观察到的磨损模式是在海洋经济中从事专门工作时产生的。
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引用次数: 0
Neanderthal use of animal bones as retouchers at the Level XV of the Sopeña rock shelter (Asturias, northern Spain) 尼安德特人在索佩尼亚岩洞第十五层(西班牙北部,阿斯图里亚斯)使用兽骨作为修饰工具
IF 1 3区 历史学 Q1 Arts and Humanities Pub Date : 2023-11-16 DOI: 10.1002/oa.3267
Antonio J. Romero, José Yravedra, Aurora Grandal-d'Anglade, Ana C. Pinto-Llona

Bone retouchers are a technological appliance used to perfect lithic tools efficiently. They are most frequently found in Middle Palaeolithic contexts. In this paper, we present a group of bone retouchers from the Mousterian Level XV of the Sopeña rock shelter (Asturias, Spain). The bone part preferred was the middle part of the shaft of long bones: Most of them are on metacarpals, followed by metatarsals, femurs, and tibias. The most used animal species is adult red deer. These retouchers have either one, two, or three active areas, with a central disposition. The impact marks are close together; oval pits are common, as well as straight, sinuous, and irregular grooves. The surfaces on these marks appear pitted and scaled. There are indications that the bones employed were relatively fresh. The length, width, and thickness of those bone fragments seem to be the determining factor when choosing them to be used as retouchers in the process of finishing lithic tools. The formats documented in Sopeña Level XV are similar to those found in other Mousterian sites in Iberia, although there is a certain variability regarding their width. The Neanderthals of Sopeña acquired the raw material for these retouchers from the faunal remains generated in the process of butchering and eating the animals. These retouchers were used as implements to perfect lithic tools made mainly on quartzite, and they were used repeatedly and maybe for a long time.

骨修图器是一种技术设备,用于有效地完善石器工具。它们最常出现在旧石器时代中期。在本文中,我们介绍了一组来自Sopeña岩石避难所(阿斯图里亚斯,西班牙)的Mousterian XV级的骨骼修图师。首选的骨骼部位是长骨轴的中部,以掌骨为主,其次是跖骨、股骨和胫骨。最常用的动物种类是成年马鹿。这些修图师有一个,两个或三个活动区域,具有中心配置。撞击痕迹靠得很近;椭圆形的坑很常见,还有直的、弯曲的和不规则的凹槽。这些痕迹的表面有凹痕和鳞片。有迹象表明,所用的骨头相对较新鲜。这些骨头碎片的长度、宽度和厚度似乎是在完成石器工具的过程中选择它们作为修图工具时的决定性因素。Sopeña第十五级记录的格式与在伊比利亚其他莫斯特人遗址发现的格式相似,尽管它们的宽度有一定的差异。Sopeña的尼安德特人从屠宰和食用动物过程中产生的动物遗骸中获得了这些修图的原材料。这些修图器被用来完善主要由石英岩制成的石器工具,它们被反复使用,可能很长一段时间。
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引用次数: 0
Testing of morphological sex estimation traits with a sex-known collection: Ottoman period skulls 用已知性别的藏品测试形态性别估计特征:奥斯曼时期的头骨
IF 1 3区 历史学 Q1 Arts and Humanities Pub Date : 2023-10-30 DOI: 10.1002/oa.3265
Berkay Yaşar, Mehmet Sağır

Sexual dimorphism patterns vary across geographic regions due to the influence of genetic characteristics and environmental factors. Therefore, sex estimation models are being developed specifically for each population or group. The applicability of morphological sex estimation methods has not been tested in Turkey. Hence, by using skulls, the present study aims to analyze the reliability of the visual morphological method and test the equations developed in different populations. The study material consists of 192 skulls (96 male, 96 female) with known sexes, excavated from Istanbul's Karacaahmet cemetery in 1925. In the present study, glabella, mastoid process, supraorbital margin, and nuchal crest traits were scored on a scale of 1 to 5 according to the instructions provided in standard protocols. Intra-observer and inter-observer agreements were analyzed by two experts having the same level of experience. When equations derived from other populations were applied to our samples, they exhibited high sex biases (up to 50%). Therefore, new equations were derived through binary logistic regression analysis. Glabella had the highest performance in terms of repeatability (0.83) and reproducibility (0.74), whereas the nuchal crest showed the lowest performance (0.60–0.52). The most significant sexual dimorphism was observed in the glabella. Based on cross-validated results using a single criterion, it accurately classified 80% of females and 84% of males. The nuchal crest was not significantly affecting the sex discriminative equations (p > 0.05). Multivariate equations achieved an accuracy of over 90% and cross-validated results ranged between 80% and 90%. The results obtained from present study support the hypothesis that sexual dimorphism patterns vary under different conditions and highlight the importance of population variation in sex estimation. The models derived from the present study were found to be suitable for sex estimation from skulls and demonstrated high performance.

由于遗传特征和环境因素的影响,性别二态性模式在不同的地理区域有所不同。因此,正在专门为每个人口或群体开发性别估计模型。形态学性别估计方法的适用性尚未在土耳其进行测试。因此,本研究旨在通过颅骨分析视觉形态学方法的可靠性,并检验在不同种群中建立的方程。研究材料包括192个已知性别的头骨(96个男性,96个女性),于1925年从伊斯坦布尔的卡拉卡艾哈迈德公墓出土。在本研究中,根据标准方案提供的说明,对眉间、乳突、眶上缘和颈嵴特征进行1至5分的评分。两名具有相同经验水平的专家对观察员内部和观察员之间的协定进行了分析。当从其他人群中导出的方程应用于我们的样本时,它们表现出高度的性别偏差(高达50%)。因此,通过二元逻辑回归分析,推导出新的方程。在重复性(0.83)和再现性(0.74)方面,眉骨的性能最高,而颈峰的性能最低(0.60 ~ 0.52)。最显著的两性二态性出现在眉间。基于使用单一标准的交叉验证结果,它准确地分类了80%的女性和84%的男性。颈峰对性别判别方程无显著影响(p > 0.05)。多元方程的准确度超过90%,交叉验证的结果在80%到90%之间。本研究结果支持了性别二态性模式在不同条件下存在差异的假设,并强调了种群变异在性别估计中的重要性。本研究的模型适用于颅骨性别估计,并表现出良好的性能。
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引用次数: 0
Two cases of skeletal fluorosis from the historic cemetery at Zhangwan, Henan Province, China 中国河南省张湾历史墓地的两例氟骨症病例
IF 1 3区 历史学 Q1 Arts and Humanities Pub Date : 2023-10-30 DOI: 10.1002/oa.3266
Yawei Zhou, Kailu Liu, Fei Yan, Elizabeth Berger

Skeletal fluorosis is a systemic chronic disease caused by long-term intake of excessive fluoride, which accumulates in bone tissue and causes changes to the bone and periosteal tissue. Skeletal fluorosis is rarely considered in paleopathological analyses, but in areas with relatively high fluoride in the environment, it may be an important cause of bone hyperplasia. In this study, we observed pathological lesions consistent with fluorosis on two human skeletons from the Ming Dynasty (1368–1644 CE) excavated from a cemetery in western Henan Province. By using an electron microprobe to measure the fluoride content in the teeth, and by considering the living conditions in the area during the Ming Dynasty, we conclude that the remains show evidence of skeletal fluorosis. We also consider the content of fluoride in the local groundwater, the local way of life, and other factors, to identify potential causes of skeletal fluorosis in this population and demonstrate that environmental factors were the main cause. This offers insight into the relationship between humans and their environments in China, especially western Henan Province, in the historical past. It also demonstrates the unique contributions bioarchaeology can make to environmental health studies and studies of the history of health.

氟骨症是由于长期摄入过量氟化物而引起的一种全身性慢性疾病,氟化物在骨组织中积累,引起骨和骨膜组织的改变。在古病理学分析中很少考虑氟骨症,但在环境中氟化物含量相对较高的地区,氟骨症可能是骨质增生的重要原因。在本研究中,我们在豫西一个墓地出土的两具明代(公元1368-1644年)人骨上观察到与氟中毒相符的病理病变。通过电子探针测量牙齿中的氟化物含量,并考虑到明代该地区的生活条件,我们得出结论,这些遗骸显示了氟骨症的证据。我们还考虑了当地地下水中的氟化物含量、当地的生活方式和其他因素,以确定该人群中氟骨症的潜在原因,并证明环境因素是主要原因。这提供了对中国历史上,特别是河南省西部人类与环境关系的深入了解。它还展示了生物考古学对环境健康研究和健康史研究的独特贡献。
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引用次数: 0
A natural death assemblage of fishes from an early modern archeological context in Antwerp (Belgium) 安特卫普(比利时)现代早期考古发现的鱼类自然死亡集合体
IF 1 3区 历史学 Q1 Arts and Humanities Pub Date : 2023-10-25 DOI: 10.1002/oa.3262
Wim Wouters, Wim Van Neer, Daan Celis

An unusual concentration of tens of thousands small fish remains discovered during rescue excavations in the town of Antwerp, Belgium, is described. The material was found in a small depression with no associated archeological material but could be dated to the first half of the 16th century based on its stratigraphic position. About 3500 freshwater fish were found in articulating position and it is shown that they died naturally during a single depositional event after an exceptional flood. The species spectrum and the reconstructed fish lengths make it possible to document the season when the catastrophic mortality occurred. This assemblage differs from the few assemblages of natural mortality reported in the literature, which are all of the attritional type.

在比利时安特卫普镇的救援挖掘中,发现了成千上万的小鱼遗骸,这是一个不寻常的集中。该材料是在一个没有相关考古材料的小洼地中发现的,但根据其地层位置可以追溯到16世纪上半叶。约有3500条淡水鱼被发现在关节位置,表明它们在一次特殊洪水后的一次沉积事件中自然死亡。物种光谱和重建的鱼类长度使记录灾难性死亡发生的季节成为可能。这种组合不同于文献中报道的自然死亡率的少数组合,这些组合都是损耗型的。
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引用次数: 1
A test of the New Coimbra method of recording entheseal changes as applied to the foot skeleton 应用于足部骨骼的新科英布拉骨内变化记录法试验
IF 1 3区 历史学 Q1 Arts and Humanities Pub Date : 2023-10-24 DOI: 10.1002/oa.3261
Malorie E. Albee

Prior studies have indicated that entheseal changes throughout the skeleton are largely reflective of age and body mass with mixed results concerning activity patterns. To add to this debate, this study tests the effectiveness of employing the New Coimbra method to record entheseal changes of the calcaneus (Calcaneal tendon enthesis), hallucal metatarsal (Peroneus longus m. tendon, and Tibialis anterior m. tendon entheses), and fifth metatarsal (Peroneus brevis m. tendon enthesis) to understand past activity patterns. Presence and severity of entheseal changes were scored for 71 white adults from the William M. Bass Donated Skeletal Collection, and these scores were contrasted according to age, sex, stature, body mass (BMI), and occupation. Spearman's rank correlations show that age has the greatest impact on changes for the Calcaneal tendon enthesis, the Peroneus brevis m. tendon enthesis, and the Tibialis anterior m. tendon enthesis. For all of these entheses, entheseal scores increase as age increases. Stature is the largest contributing factor to changes in the Peroneus longus m. tendon enthesis, and this relationship is negative: entheseal scores decrease as stature increases. BMI has a limited effect on entheseal changes in the foot skeleton, and this relationship may instead be mediated by gait differences related to stature. No statistically significant relationships between entheseal changes and occupational standing ranks were found, although this may be related to the ways in which occupations were recorded and ranked. It is possible that statistically significant effects of physical activity patterns on the expression of entheseal changes could be documented using other measurements of activity patterns beyond occupational standing. These findings support prior studies that established age as a major contributor to entheseal changes but show that stature also contributes to enthesis formation in the foot.

先前的研究表明,整个骨骼的骨骺变化在很大程度上反映了年龄和体重,与活动模式有关的结果好坏参半。为了增加这一争论,本研究测试了采用新科英布拉方法记录跟骨(跟腱端)、幻觉跖骨(腓骨长肌肌腱和胫骨前肌肌腱端)和第五跖骨(腓骨短肌肌腱端)的肌腱变化的有效性,以了解过去的活动模式。对来自William M. Bass捐赠骨骼收藏的71名白人成年人的骨组织变化的存在和严重程度进行评分,并根据年龄、性别、身高、体重(BMI)和职业对这些评分进行对比。Spearman’s秩相关显示,年龄对跟骨肌腱端部、腓骨短肌肌腱端部和胫骨前肌肌腱端部的变化影响最大。对于所有这些题目,题目分数随着年龄的增长而增加。身高是腓骨长肌肌腱内束改变的最大影响因素,这种关系是负相关的:腓长肌内束评分随着身高的增加而降低。BMI对足部骨骼内腔变化的影响有限,这种关系可能是由与身高相关的步态差异介导的。虽然这可能与职业记录和排名的方式有关,但没有发现统计上显著的变化与职业地位等级之间的关系。在统计上,体力活动模式对肺水肿变化的显著影响可以通过职业地位以外的其他活动模式测量来证明。这些发现支持了先前的研究,即年龄是骨骺变化的主要因素,但也表明身高也有助于足部骨骺的形成。
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引用次数: 0
Pronounced hyperostosis frontalis interna and co-occurring lesions in the skull base suggestive of a pituitary tumor in a woman from medieval Germany 中世纪德国一名妇女明显的额肌间过度增生和颅底并发病变提示垂体瘤
IF 1 3区 历史学 Q1 Arts and Humanities Pub Date : 2023-10-19 DOI: 10.1002/oa.3263
Stefan Flohr, Carsten Witzel, Uwe Kierdorf

Hyperostosis frontalis interna (HFI) is an osseous overgrowth characterized by symmetrical, irregular bone apposition on the internal table of the frontal bone, which preferentially occurs in females. In 1719, Morgagni described the condition as one sign of a triad comprising HFI, hirsutism, and obesity (Morgagni's syndrome). The etiopathogenesis of HFI is largely unresolved, but the condition is frequently associated with metabolic, endocrine, and neuropsychiatric disorders. In archaeological cases, which rely solely on dry bone diagnosis, the cause of HFI generally remains unknown, as is also the case regarding accompanying signs and symptoms. Here, we report a case of pronounced HFI in the skeleton of an old-adult woman from medieval Hildesheim dating to the 8th to 11th century CE. In addition to HFI, the cranium exhibits resorptive lesions of the sella turcica with dehiscence of the roof of the sphenoid sinus. The co-occurrence of these lesions suggests an underlying common cause for them. On the basis of differential diagnosis, we consider a functioning pituitary neuroendocrine tumor (PitNET) as the most likely common cause for the two conditions.

额内肥厚(Hyperostosis frontalis interna, HFI)是一种骨过度生长,其特征是在额骨内表上对称、不规则的骨并列,优先发生在女性。1719年,Morgagni将这种情况描述为HFI,多毛症和肥胖(Morgagni综合征)的一个标志。HFI的发病机制在很大程度上尚不清楚,但这种疾病通常与代谢、内分泌和神经精神疾病有关。在仅依靠干骨诊断的考古病例中,HFI的病因通常仍然未知,伴随的体征和症状也是如此。在这里,我们报告了一例明显的HFI病例,该病例来自中世纪希尔德斯海姆的一名成年妇女,可追溯到公元8至11世纪。除HFI外,颅骨还表现为蝶鞍的吸收性病变,伴蝶窦顶部开裂。这些病变的共同发生表明它们有潜在的共同原因。在鉴别诊断的基础上,我们认为功能性垂体神经内分泌肿瘤(PitNET)是这两种情况的最可能的共同原因。
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引用次数: 0
Long-term processes between Classic and Postclassic populations in the Mexico basin 墨西哥盆地古典时期和后古典时期人口之间的长期进程
IF 1 3区 历史学 Q1 Arts and Humanities Pub Date : 2023-10-03 DOI: 10.1002/oa.3260
Abigail Meza-Peñaloza, Federico Zertuche, Josefina Bautista-Martínez

The study of nonmetric traits is useful for establishing biological differences or affinities between populations. This study considered 12 nonmetric cranial characters. The objective is to compare five series of two different cultural horizons: three populations of the Teotihuacán Classic period and two of the Mexica Postclassic period. For the selection of nonmetric traits, those not altered by intentional cephalic modification were considered. From the sample of materials, it was assessed whether the populations of the Classic period could have biological and cultural affinity between them, making a migratory interpretation which indicates differences in nonmetric characters between them. The mean measure of divergence (MMD) was considered as bio-distance. The distance matrix was analyzed using the unweighted pair group method with arithmetic mean and nonmetric multidimensional scaling. Frequencies were studied using the principal component analysis. Mantel test and partial Mantel test were used to compare the distance matrix obtained with the MMD with sites geographical distance matrix, type of settlements matrix, and period of the site's matrix. In none of those cases were found a correlation at the α=0.05 level. Making more plausible that the results of the nonmetric traits MMD matrix agree with a migration process. All methods agree on separating Classical populations into one group and Postclassic populations into another. The archeological contexts, and the study of the material culture found, agree with the analysis of nonmetric characters.

非计量性状的研究有助于确定种群间的生物学差异或亲缘关系。本研究考虑了12个非度量的颅骨特征。目的是比较两种不同文化视野的五个系列:Teotihuacán古典时期的三个种群和墨西哥后古典时期的两个种群。对于非度量性状的选择,那些没有被有意的头侧修饰改变的性状被考虑在内。从材料样本中,评估了古典时期的种群之间是否具有生物和文化亲和力,并做出了迁移解释,表明它们之间的非度量特征存在差异。平均散度测量(MMD)被认为是生物距离。采用非度量多维标度和算术平均的非加权对群法对距离矩阵进行分析。使用主成分分析研究频率。利用Mantel检验和部分Mantel检验将MMD得到的距离矩阵与站点的地理距离矩阵、聚落类型矩阵和站点的周期矩阵进行比较。在这些病例中没有发现在α = 0.05水平上的相关性。使得非度量特征MMD矩阵的结果更符合迁移过程。所有的方法都同意将古典种群分为一组,后古典种群分为另一组。考古背景和对发现的物质文化的研究,与对非计量文字的分析一致。
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引用次数: 0
The rarest among the rare? Acrometastases and disability in the past and beyond 罕见中的罕见?瘤胃癌与残疾的过去和未来
IF 1 3区 历史学 Q1 Arts and Humanities Pub Date : 2023-09-19 DOI: 10.1002/oa.3258
Nathalie Antunes-Ferreira, Francisco Curate, Carlos Prates, Benoit Bertrand, Carina Marques

Metastatic bone disease significantly impacts cancer-related morbidity and mortality nowadays. Herein, we present an adult individual, probably a female, with multiple osteolytic lesions, of variable sizes, distributed predominantly in the axial skeleton but also affecting elements of the appendicular region. This individual also exhibits atypical manifestations of metastatic bone disease, in the form of acrometastases—metastases in the extremities, which are uncommon events in current clinical settings. The individual's skeletonized remains were exhumed from a crypt in the Chapel of the Holy Spirit (Espírito Santo), Loures, Portugal, and have been dated from the 16th to 19th centuries. The multiple osteolytic lesions, noted both by direct and radiological observations, are discussed to expand the knowledge regarding disease manifestations in the past but also to reflect on disability and suffering in past individuals affected by oncologic ailments.

目前,转移性骨病显著影响着癌症相关的发病率和死亡率。在此,我们报告了一位成年个体,可能是一位女性,患有多种大小不一的溶骨性病变,主要分布在中轴骨骼,但也影响到阑尾区域的元素。该患者还表现出转移性骨病的非典型表现,表现为肢端转移,这在目前的临床环境中并不常见。这个人的骸骨是从葡萄牙洛雷斯圣神教堂(Espírito Santo)的一个地窖里挖出来的,可以追溯到16世纪到19世纪。通过直接和放射观察发现的多重溶骨性病变进行了讨论,以扩大对过去疾病表现的认识,同时也反映了过去受肿瘤疾病影响的个体的残疾和痛苦。
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引用次数: 0
期刊
International Journal of Osteoarchaeology
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