Apple Down 152: A putative case of syphilis from sixth century AD Anglo‐Saxon England
Identifieur interne : 000689 ( Main/Exploration ); précédent : 000688; suivant : 000690Apple Down 152: A putative case of syphilis from sixth century AD Anglo‐Saxon England
Auteurs : Garrard Cole [Royaume-Uni] ; Tony Waldron [Royaume-Uni]Source :
- American Journal of Physical Anthropology [ 0002-9483 ] ; 2011-01.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Anthropology, Bone, Bone and Bones (pathology), Caries sicca, Case study, Diagnosis, Differential, England, Gummatous lesions, History, Medieval, Human, Humans, Male, Paleontology, Paleopathology, Periosteal reaction, Periostitis, Skeleton, Syphilis, Syphilis (diagnosis), Syphilis (history), Syphilis (pathology), Treponematosis, Ulceration, Young Adult.
- MESH :
- geographic : England.
- diagnosis : Syphilis.
- history : Syphilis.
- pathology : Bone and Bones, Syphilis.
- Diagnosis, Differential, History, Medieval, Humans, Male, Paleopathology, Young Adult.
Abstract
This report describes a putative case of a treponemal infection observed on a skeleton of a young male adult from the Apple Down Anglo‐Saxon cemetery dating to the sixth century AD, accompanied by grave goods indicative of a high status burial. The skeleton is well preserved and almost complete. The pathological evidence includes an extensive area of lytic destruction to the frontal bone of the skull, widespread profuse bilateral symmetrical periosteal reaction affecting scapulae, clavicles, arms, legs, hands, feet and ribs. There is also evidence of gummatous destruction on some of the long bones. Application of a differential diagnosis of all probable diseases exhibiting the individual symptoms leads to a clear conclusion that the person was infected with a treponemal pathogen. The skeleton shows none of the stigmata associated with the congenital form of treponemal disease. We propose that the evidence suggests a possible case of venereal syphilis rather than one of the endemic forms of treponemal disease. This diagnosis is based on the geographical pathogen range, the apparent low prevalence of the disease, significant social upheaval at the time, the high social status and early age of death of the individual. Am J Phys Anthropol, 2010. © 2010 Wiley‐Liss, Inc.
Url:
DOI: 10.1002/ajpa.21371
Affiliations:
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Le document en format XML
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Anthropol.</title><idno type="ISSN">0002-9483</idno><idno type="eISSN">1096-8644</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2011-01">2011-01</date><biblScope unit="volume">144</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="72">72</biblScope><biblScope unit="page" to="79">79</biblScope></imprint><idno type="ISSN">0002-9483</idno></series><idno type="istex">D64025E62614C60FCBB6EF9753B7A999BF0FC985</idno><idno type="DOI">10.1002/ajpa.21371</idno><idno type="ArticleID">AJPA21371</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-9483</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anthropology</term><term>Bone</term><term>Bone and Bones (pathology)</term><term>Caries sicca</term><term>Case study</term><term>Diagnosis, Differential</term><term>England</term><term>Gummatous lesions</term><term>History, Medieval</term><term>Human</term><term>Humans</term><term>Male</term><term>Paleontology</term><term>Paleopathology</term><term>Periosteal reaction</term><term>Periostitis</term><term>Skeleton</term><term>Syphilis</term><term>Syphilis (diagnosis)</term><term>Syphilis (history)</term><term>Syphilis (pathology)</term><term>Treponematosis</term><term>Ulceration</term><term>Young Adult</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>England</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Syphilis</term></keywords><keywords scheme="MESH" qualifier="history" xml:lang="en"><term>Syphilis</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Bone and Bones</term><term>Syphilis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Diagnosis, Differential</term><term>History, Medieval</term><term>Humans</term><term>Male</term><term>Paleopathology</term><term>Young Adult</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Anthropologie</term><term>Etude cas</term><term>Homme</term><term>Os</term><term>Paléontologie</term><term>Paléopathologie</term><term>Périostite</term><term>Squelette</term><term>Syphilis</term><term>Tréponématose</term><term>Ulcération</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This report describes a putative case of a treponemal infection observed on a skeleton of a young male adult from the Apple Down Anglo‐Saxon cemetery dating to the sixth century AD, accompanied by grave goods indicative of a high status burial. The skeleton is well preserved and almost complete. The pathological evidence includes an extensive area of lytic destruction to the frontal bone of the skull, widespread profuse bilateral symmetrical periosteal reaction affecting scapulae, clavicles, arms, legs, hands, feet and ribs. There is also evidence of gummatous destruction on some of the long bones. Application of a differential diagnosis of all probable diseases exhibiting the individual symptoms leads to a clear conclusion that the person was infected with a treponemal pathogen. The skeleton shows none of the stigmata associated with the congenital form of treponemal disease. We propose that the evidence suggests a possible case of venereal syphilis rather than one of the endemic forms of treponemal disease. This diagnosis is based on the geographical pathogen range, the apparent low prevalence of the disease, significant social upheaval at the time, the high social status and early age of death of the individual. Am J Phys Anthropol, 2010. © 2010 Wiley‐Liss, Inc.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>University College de Londres</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Cole, Garrard" sort="Cole, Garrard" uniqKey="Cole G" first="Garrard" last="Cole">Garrard Cole</name></region><name sortKey="Cole, Garrard" sort="Cole, Garrard" uniqKey="Cole G" first="Garrard" last="Cole">Garrard Cole</name><name sortKey="Waldron, Tony" sort="Waldron, Tony" uniqKey="Waldron T" first="Tony" last="Waldron">Tony Waldron</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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