Diffuse idiopathic skeletal hyperostosis: diagnosis in a palaeopathological context.
Identifieur interne : 000282 ( PubMed/Checkpoint ); précédent : 000281; suivant : 000283Diffuse idiopathic skeletal hyperostosis: diagnosis in a palaeopathological context.
Auteurs : A E Van Der Merwe [Pays-Bas] ; G J R. Maat ; I. WattSource :
- Homo : internationale Zeitschrift fur die vergleichende Forschung am Menschen [ 1618-1301 ] ; 2012.
Descripteurs français
- Wicri :
- geographic : Pays-Bas.
English descriptors
- KwdEn :
- Adult, Diet (history), Female, History, 16th Century, History, 21st Century, Humans, Hyperostosis, Diffuse Idiopathic Skeletal (diagnosis), Hyperostosis, Diffuse Idiopathic Skeletal (epidemiology), Hyperostosis, Diffuse Idiopathic Skeletal (history), Hyperostosis, Diffuse Idiopathic Skeletal (pathology), Longitudinal Ligaments (pathology), Male, Metabolic Syndrome X (diagnosis), Metabolic Syndrome X (epidemiology), Metabolic Syndrome X (history), Middle Aged, Netherlands (epidemiology), Ossification, Heterotopic, Paleopathology (methods), Prevalence, Social Class (history), Spine (pathology), Young Adult.
- MESH :
- geographic , epidemiology : Netherlands.
- diagnosis : Hyperostosis, Diffuse Idiopathic Skeletal, Metabolic Syndrome X.
- epidemiology : Hyperostosis, Diffuse Idiopathic Skeletal, Metabolic Syndrome X.
- history : Diet, Hyperostosis, Diffuse Idiopathic Skeletal, Metabolic Syndrome X, Social Class.
- methods : Paleopathology.
- pathology : Hyperostosis, Diffuse Idiopathic Skeletal, Longitudinal Ligaments, Spine.
- Adult, Female, History, 16th Century, History, 21st Century, Humans, Male, Middle Aged, Ossification, Heterotopic, Prevalence, Young Adult.
Abstract
Clinically, the presence of diffuse idiopathic skeletal hyperostosis (DISH) has been linked to a disturbance of glucose and insulin metabolism, hypertension, dyslipidemia and obesity associated with a rich diet. The prevalence of DISH in archaeological skeletal samples may therefore be a valuable indicator of their socio-economic status when compared to other contemporary groups. However, various methods are currently being used to diagnose DISH. The purpose of this study was therefore to assess the comparability of results obtained using four different diagnostic methods to estimate the prevalence of DISH in a skeletal sample, and to discuss the implications of the results in relation to palaeopathological health assessments. Four different diagnostic criteria were applied to 127 male and 113 female skeletons to diagnose DISH. Skeletal remains were obtained from two 16th century samples from Delft and one modern sample from the anatomy dissection hall of the Leiden University Medical Centre. The estimated prevalences were statistically compared. Special attention was also given to the distribution of extra-spinal enthesophytes described in diagnostic criteria, in order to assess their diagnostic value. The prevalence of DISH observed in the skeletal samples varied significantly depending on the criteria used for diagnosis. Furthermore, extra-spinal enthesophytes, suggested as being indicative of DISH, proved to be variable and unreliable. It was concluded that it is of great importance to explicitly state and adhere to criteria employed for diagnosing DISH in both palaeopathological and clinical investigations in order to ensure reliable comparisons between studies. Also, DISH cannot be positively diagnosed solely based on the presence of extra-spinal enthesophytes.
DOI: 10.1016/j.jchb.2012.03.005
PubMed: 22560176
Affiliations:
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The prevalence of DISH in archaeological skeletal samples may therefore be a valuable indicator of their socio-economic status when compared to other contemporary groups. However, various methods are currently being used to diagnose DISH. The purpose of this study was therefore to assess the comparability of results obtained using four different diagnostic methods to estimate the prevalence of DISH in a skeletal sample, and to discuss the implications of the results in relation to palaeopathological health assessments. Four different diagnostic criteria were applied to 127 male and 113 female skeletons to diagnose DISH. Skeletal remains were obtained from two 16th century samples from Delft and one modern sample from the anatomy dissection hall of the Leiden University Medical Centre. The estimated prevalences were statistically compared. Special attention was also given to the distribution of extra-spinal enthesophytes described in diagnostic criteria, in order to assess their diagnostic value. The prevalence of DISH observed in the skeletal samples varied significantly depending on the criteria used for diagnosis. Furthermore, extra-spinal enthesophytes, suggested as being indicative of DISH, proved to be variable and unreliable. It was concluded that it is of great importance to explicitly state and adhere to criteria employed for diagnosing DISH in both palaeopathological and clinical investigations in order to ensure reliable comparisons between studies. Also, DISH cannot be positively diagnosed solely based on the presence of extra-spinal enthesophytes.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22560176</PMID><DateCreated><Year>2012</Year><Month>06</Month><Day>18</Day></DateCreated><DateCompleted><Year>2012</Year><Month>11</Month><Day>05</Day></DateCompleted><DateRevised><Year>2012</Year><Month>06</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1618-1301</ISSN><JournalIssue CitedMedium="Internet"><Volume>63</Volume><Issue>3</Issue><PubDate><Year>2012</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Homo : internationale Zeitschrift fur die vergleichende Forschung am Menschen</Title><ISOAbbreviation>Homo</ISOAbbreviation></Journal><ArticleTitle>Diffuse idiopathic skeletal hyperostosis: diagnosis in a palaeopathological context.</ArticleTitle><Pagination><MedlinePgn>202-15</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jchb.2012.03.005</ELocationID><Abstract><AbstractText>Clinically, the presence of diffuse idiopathic skeletal hyperostosis (DISH) has been linked to a disturbance of glucose and insulin metabolism, hypertension, dyslipidemia and obesity associated with a rich diet. The prevalence of DISH in archaeological skeletal samples may therefore be a valuable indicator of their socio-economic status when compared to other contemporary groups. However, various methods are currently being used to diagnose DISH. The purpose of this study was therefore to assess the comparability of results obtained using four different diagnostic methods to estimate the prevalence of DISH in a skeletal sample, and to discuss the implications of the results in relation to palaeopathological health assessments. Four different diagnostic criteria were applied to 127 male and 113 female skeletons to diagnose DISH. Skeletal remains were obtained from two 16th century samples from Delft and one modern sample from the anatomy dissection hall of the Leiden University Medical Centre. The estimated prevalences were statistically compared. Special attention was also given to the distribution of extra-spinal enthesophytes described in diagnostic criteria, in order to assess their diagnostic value. The prevalence of DISH observed in the skeletal samples varied significantly depending on the criteria used for diagnosis. Furthermore, extra-spinal enthesophytes, suggested as being indicative of DISH, proved to be variable and unreliable. It was concluded that it is of great importance to explicitly state and adhere to criteria employed for diagnosing DISH in both palaeopathological and clinical investigations in order to ensure reliable comparisons between studies. Also, DISH cannot be positively diagnosed solely based on the presence of extra-spinal enthesophytes.</AbstractText><CopyrightInformation>Copyright © 2012 Elsevier GmbH. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>van der Merwe</LastName><ForeName>A E</ForeName><Initials>AE</Initials><AffiliationInfo><Affiliation>Department of Anatomy and Embryology, Leiden University Medical Centre, LUMC S-1-P, P.O. Box 96002, 2300 RC Leiden, The Netherlands. 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Maat</name><name sortKey="Watt, I" sort="Watt, I" uniqKey="Watt I" first="I" last="Watt">I. Watt</name></noCountry><country name="Pays-Bas"><noRegion><name sortKey="Van Der Merwe, A E" sort="Van Der Merwe, A E" uniqKey="Van Der Merwe A" first="A E" last="Van Der Merwe">A E Van Der Merwe</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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