显微镜下的坏血病、贫血和软骨病——光学显微镜支持对中世纪中央山村Winnefeld(德国下萨克森州)亚成年骨骼遗骸营养不良的调查。

Pub Date : 2023-09-28 DOI:10.1127/anthranz/2023/1720
Jan Nováček
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引用次数: 0

摘要

在德国中部的索尔林丘陵地区,已知有大量废弃的中世纪定居点。在公元12至14世纪的一个废弃村庄Winnefeld的教堂废墟和墓地挖掘项目中,挖掘了165个人,并对其进行了人类学检查,包括一项光镜调查。在这些个体中,从出生前(死胎)婴儿的死亡年龄到青少年,共确定了105个亚成年人,其中绝大多数婴儿死亡时年龄在两岁以下。在亚成人中,坏血病经常被诊断出来。在超过30%的个体中,观察到了诊断坏血病的证据或至少提示。贫血和软骨病的发病率较低(约6%和7%),但仍然很常见。作为系列标准进行的光镜调查证明,它是区分不同疾病痕迹的一种有用的额外方法,尤其是在非极端、可疑的情况下。然而,有时它甚至会导致以前所谓的“明确”病例的诊断发生变化。
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Scurvy, anaemia, and rickets under the microscope - Light-microscopy supported investigation of malnutrition in subadult skeletal remains from the medieval central mountain village of Winnefeld (Lower Saxony, Germany).

In the hilly region of Solling in Central Germany, a large number of abandoned medieval settlements is known. In an excavation project of a church ruin and cemetery of the abandoned village Winnefeld from the 12th to 14th century CE, 165 individuals were excavated and anthropologically examined, including a light microscopic investigation. Among these individuals, 105 subadults were identified, from the age-at-death of pre-natal (stillborn) infants, up to juveniles, with the large majority of infants up to two years of age-at-death. Among the subadults, scurvy was frequently diagnosed. In more than 30% of the individuals, evidence or at least hints towards the diagnosis of scurvy were observed. Anaemia and rickets were less frequent (about 6% and 7%), however, still common. The light microscopic investigation, conducted as series standard, proved itself as a useful additional method in distinguishing vestiges of different illnesses, especially in non-extreme, questionable cases. Sometimes, however, it even resulted in a change of diagnosis of formerly supposed "clear" cases.

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