1
|
Drtikolová Kaupová S, Velemínský P, Cvrček J, Džupa V, Kuželka V, Laboš M, Němečková A, Tomková K, Zazvonilová E, Kacki S. Multiple occurrence of premature polyarticular osteoarthritis in an early medieval Bohemian cemetery (Prague, Czech Republic). INTERNATIONAL JOURNAL OF PALEOPATHOLOGY 2020; 30:35-46. [PMID: 32417673 DOI: 10.1016/j.ijpp.2020.04.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/29/2019] [Revised: 04/06/2020] [Accepted: 04/10/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVES To highlight conditions that may cause early-onset degenerative joint disease, and to assess the possible impact of such diseases upon everyday life. MATERIAL Four adults aged under 50 years from a medieval skeletal collection of Prague (Czechia). METHODS Visual, osteometric, X-ray, and histological examinations, stable isotope analysis of bone collagen. RESULTS All four individuals showed multiple symmetrical degenerative changes, affecting the majority of joints of the postcranial skeleton. Associated dysplastic deformities were observed in all individuals, including bilateral hip dysplasia (n = 1), flattening of the femoral condyles (n = 3), and substantial deformation of the elbows (n = 3). The diet of the affected individuals differed from the contemporary population sample. CONCLUSIONS We propose the diagnosis of a mild form of skeletal dysplasia in these four individuals, with multiple epiphyseal dysplasia or type-II collagenopathy linked to premature osteoarthritis as the most probable causes. SIGNIFICANCE Combining the skeletal findings with information from the medical literature, this paper defines several characteristic traits which may assist with the diagnosis of skeletal dysplasia in the archaeological record. LIMITATIONS As no genetic analysis was performed to confirm the possible kinship of the individuals, it is not possible to definitively assess whether the individuals suffered from the same hereditary condition or from different forms of skeletal dysplasia. SUGGESTIONS FOR FURTHER RESEARCH Further studies on premature osteoarthritis in archaeological skeletal series are needed to correct the underrepresentation of these mild forms of dysplasia in past populations.
Collapse
Affiliation(s)
- Sylva Drtikolová Kaupová
- Department of Anthropology, National Museum, Václavské Náměstí 68, 11579 Praha 1, Czech Republic.
| | - Petr Velemínský
- Department of Anthropology, National Museum, Václavské Náměstí 68, 11579 Praha 1, Czech Republic.
| | - Jan Cvrček
- Department of Anthropology, National Museum, Václavské Náměstí 68, 11579 Praha 1, Czech Republic; Department of Anthropology and Human Genetics, Faculty of Science, Charles University, Viničná 7, 128 43, Praha 2, Czech Republic.
| | - Valér Džupa
- Deparment of Orthopaedics and Traumatology, Third Faculty of Medicine, Charles University, and University Hospital Kralovske Vinohrady, Srobarova 50, 100 34, Praha 10, Czech Republic.
| | - Vítězslav Kuželka
- Department of Anthropology, National Museum, Václavské Náměstí 68, 11579 Praha 1, Czech Republic.
| | - Marek Laboš
- Deparment of Radiodiagnostics, Third Faculty of Medicine, Charles University, and University Hospital Kralovske Vinohrady, Srobarova 50, 100 34, Praha 10, Czech Republic.
| | - Alena Němečková
- Department of Histology and Embryology, Medical Faculty in Pilsen, Charles University, Karlovarská 48, 301 00, Pilsen, Czech Republic.
| | - Kateřina Tomková
- Institute of Archaeology of the Czech Academy of Sciences, Prague, v.v.i., Letenská 4, 118 01 Praha 1, Czech Republic.
| | - Eliška Zazvonilová
- Department of Anthropology and Human Genetics, Faculty of Science, Charles University, Viničná 7, 128 43, Praha 2, Czech Republic; Institute of Archaeology of the Czech Academy of Sciences, Prague, v.v.i., Letenská 4, 118 01 Praha 1, Czech Republic.
| | - Sacha Kacki
- CNRS, UMR 5199 PACEA, Université de Bordeaux, Bât. B8, Allée Geoffroy St Hilaire, CS 50023, 33615 Pessac Cedex, France; Department of Archaeology, Durham University, South Road, Durham, DH1 3LE, United Kingdom.
| |
Collapse
|
2
|
Progressive pseudorheumotoid dysplasia: A presentation of four cases with slow and rapid progression and effects of early rehabilitation program. Turk J Phys Med Rehabil 2019; 65:290-297. [PMID: 31663079 DOI: 10.5606/tftrd.2019.2694] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2018] [Accepted: 03/03/2018] [Indexed: 11/21/2022] Open
Abstract
Progressive pseudorheumotoid dysplasia (PPD) is a rare hereditary musculoskeletal disorder which is usually misdiagnosed due to its clinical resemblance to juvenile idiopathic arthritis. It has a high incidence in the Middle East, Gulf States, and countries of Mediterranean basin. Herein, we present four cases of PPD from Turkey (two siblings pair from the same kindred who are far paternal cousins) showing different disease courses. The progression of disease was particularly aggressive in the male sibling who suffered from severe scoliosis with more crippling joint disease. These four cases of PPD support the clinical heterogeneity and variable expressivity of PPD. In this article, we draw attention to the effects of patient education and early rehabilitation which helped to slow progression of range of motion loss.
Collapse
|