Identification of childhood arthritis in archaeological material: Juvenile rheumatoid arthritis versus juvenile spondyloarthropathy

Identification of childhood arthritis in archaeological material: Juvenile rheumatoid arthritis versus juvenile spondyloarthropathy

Rothschild B M; Hershkovitz I; Bedford L; Latimer B; Dutour O; Rothschild C; Jellema L M

American Journal of Physical Anthropology

1997

1997-02

The opportunity to examine the defleshed skeleton of an individual diagnosed in life (Hamann-Todd collection, individual 2036) afforded a unique opportunity to demonstrate the bone damage characteristic of at least one form of juvenile rheumatoid arthritis (JRA). Characteristics helpful for recognition of JRA in archaeological material include peripheral articular marginal and subchondral erosions, axial (e.g., zygapophyseal or sacroiliac) joint erosions, fusion of axial (cervical zygapophyseal) and/or peripheral joints, premature epiphyseal closure and/or ballooned epiphyses, growth retardation with underdeveloped (short and overtubulated) long bones, short mandibular rami with underdeveloped condyles and concomitant micrognathia, and demineralization (osteopenia). Distinguishing between JRA and juvenile spondyloarthropathy, however, is not always possible, as illustrated by this case. (C) 1995 Wiley-Liss, Inc.

ankylosing spondylitis; Anthropology; bone erosion; criteria; defleshed bones; diagnosis; erosive arthritis; Evolutionary Biology; growth retardation; onset stills disease; Pathology; polyarthritis; pseudoarthrosis

Journal Article

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

249-264

2

102