Inflammatory arthropathies

Perspectives from a Portuguese male individual (1574–1834 CE )

Datos Bibliográficos

ID12371325
AutoresNathalie Antunes‐ferreira (0000-0002-0146-6369, Egas Moniz Center for Interdisciplinarity Research Egas Moniz School of Health and Science Almada Portugal, autor de correspondencia), F Curate (0000-0002-0480-209X, Research Centre for Anthropology and Health, Department of Life Sciences, Faculty of Sciences and Technology University of Coimbra Coimbra Portugal), Carlos Prates (0000-0003-4731-9273, IMI‐art/Affidea Portugal Lisbon Portugal), Carina Marques (0000-0002-6427-6554, Department of Anthropology and School of Integrative Biological and Chemical Sciences University of Texas Rio Grande Valley Edinburg Texas USA)
Año2024
Volumen34
Número6
Fecha de publicación2024-10-30
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Osteoarchaeology (JOURNAL)
Identificadores de la revistaISSN: 1047-482X • E-ISSN: 1099-1212
EditorialWiley (PUBLISHER • GB)
DOI10.1002/oa.3362
OpenAlexW4403898973
IdiomaEN
Referencias citadas23

Arthropathies are common in past populations and can be categorized into two groups: those with predominant bone production (e.g., osteoarthritis) and those with significant bone loss (e.g., erosive arthropathies). The former is frequent in the archaeological record, whereas the latter are uncommon. We present a Post‐Medieval male individual, recovered in the Convent of the Holy Spirit (Loures, Portugal), with multiple articular and entheseal bone changes, particularly extensive periarticular, marginal, and subchondral erosive processes, often exposing trabecular bone. Proliferative lesions and extensive ankylosis are also observed in the synovial joints. These pathological changes affect both the axial and peripheral skeleton in a polyarticular, bilateral, and asymmetric pattern. Given that the appendicular skeleton, particularly the hands and feet, are the most affected areas, the most probable diagnosis is a peripheral spondyloarthropathy such as psoriatic arthritis or reactive arthritis. This case study is the first archaeological instance of psoriatic arthritis or reactive arthritis described in Portugal, highlighting the importance of a differential diagnosis and the need for reflection when pathological changes characteristics overlap, advocating for a broader diagnostic approach

Portuguese · Traditional medicine · Medicine · Medicine and Dermatology Studies History · Musculoskeletal Disorders and Rehabilitation · Psychology · Spondyloarthritis Studies and Treatments