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Identification of childhood arthritis in archaeological material: Juvenile rheumatoid arthritis versus juvenile spondyloarthropathy
Author(s) -
Rothschild B. M.,
Hershkovitz I.,
Bedford L.,
Latimer B.,
Dutour O.,
Rothschild C.,
Jellema L. M.
Publication year - 1997
Publication title -
american journal of physical anthropology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.146
H-Index - 119
eISSN - 1096-8644
pISSN - 0002-9483
DOI - 10.1002/(sici)1096-8644(199702)102:2<249::aid-ajpa7>3.0.co;2-t
Subject(s) - juvenile rheumatoid arthritis , medicine , juvenile , spondyloarthropathy , osteopenia , sequela , arthritis , axial skeleton , orthodontics , surgery , anatomy , pathology , osteoporosis , biology , bone mineral , genetics
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. Am J Phys Anthropol 102:249–264, 1997 © 1997 Wiley‐Liss, Inc.