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A case of congenital syphilis during the colonial period in Mexico City
Author(s) -
Mansilla Josefina,
Pijoan Carmen M.
Publication year - 1995
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/ajpa.1330970208
Subject(s) - periostitis , congenital syphilis , syphilis , medicine , paleopathology , osteomyelitis , treponematosis , surgery , dermatology , sexually transmitted disease , pathology , virology , human immunodeficiency virus (hiv)
Congenital syphilis has been diagnosed very seldom in ancient populations. The case that we examined comes from San Jeronimo's Church (17th and 18th centuries AD; Mexico City). Coffin 43 contained an incomplete skeleton of an approximately 2‐year‐old infant. The pathological lesions of this skeleton include bilateral osteochondritis, diaphyseal osteomyelitis, and osteitis and/or periostitis on the long bones. The radiographic appearance depicts symmetrical osteomyelitic foci, particularly at the proximal extremity of both tibiae (Wimberger's sign). The skull exhibits hydroceph‐aly and periosteal changes on the vault, and the unerupted upper incisors evince dental hypoplasia and other pathological alterations reminiscent of Hutchinson's incisors. All these features strongly suggest a case of early Congenital syphilis. © 1995 Wiley‐Liss, Inc.