Diagnostic Criteria of Syphilis, Yaws and Treponarid by C.J. Hacket

By C.J. Hacket

This publieation summarizes an preliminary unpublished file (1971) on diagnostie eriteria in dry bones. The suitable research was once made in 22 medieal museums in Europe, England and Seotland among 1966 and 1969. approximately 670 dry bones have been reeorded through over 2000 pictures. Emphasis is plaeed on ehanges for whieh diagnostie eriteria are proposed instead of on these for whieh diagnostie difficulties stay. The ehanges studied have been maeroseopieal now not mieroseopieal. this isn't areport at the pathological ehanges in dry bones in medieal museums, yet an announcement on "Diagnostic eriteria of syphilis in dry bones" and of eertain different frequent ehanges, and their eauses, whieh are wanted for differential analysis. 'Syphilis' as used the following often refers both to the 'treponematoses' whieh inc1udes yaws and treponarid. it truly is meant as a eomprehensive advisor for archaeologists and anthro pologists, and as an tool of preeision for osteo-arehaeologists. it's not a guide of pathology, even supposing pathologists can be attracted to this revival of the death ability of prognosis of illness in dry bones. All reeords, written, picture graphie and radiographie, including the preliminary 120,000 observe document, were deposited within the division of Morbid Anatomy, Institute of Orthopaedies, London, the place they are going to be on hand for examine. Abrief introduetion to this examine has been released (Haekett, 1975). i want particularly to thank the President of the Heidelberger Akade mie der Wissenschaften, and Doktor H. Gotze of Springer-Verlag, Heidelberg, for the publieation of this monograph.

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Extra resources for Diagnostic Criteria of Syphilis, Yaws and Treponarid (Treponematoses) and of Some Other Diseases in Dry Bones: For Use in Osteo-Archaeology

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Calvarial changes of treponemal disease (treponarid and yaws) in probably pre-European Australian material are frequent; but sequestra are absent in calvariae and in long bones. Studies of living Australian aborigines during the past few decades support the presence of treponemal disease. , 1972) show that treponemal infection is still prevalent in the aborigines of the Northern Territory of Australia. This suggests that sequestra in calvariae in European medical museums may not all be treponemal (venereal syphilis) but may arise from pyogenic infection as do those in long bones.

3. Foeal Superficial Cavitation (Table 3, p. 32). The confluence of the c1ustered pits in syphilis opens a superficial cavity; its walls are concave and its base is the cancellous tissue of the diploe (Fig. 3). Round the irregular and sharp-edged opening is some pitted new bone. This is the foeal superficial eavilaüon (Fig. B), the first stage of the discrete series of this sequence. Inner surfaee changes are limited to a smalI, slightly pitted new bone deposit. This change is apparently of short duration and is rarely seen alone.

DIS. = = = = 3 3 3 2 8 6 3 Syphilis Osteomyelitis Neoplasm Paget's disease SC OSTEOPHYT. g EXOST. h LEO. OSS. e f 8 5 9 5 9 = Scurvy = Osteophytosis = Exostoses = Leontiasis ossea i) Localized. 13. Plaques (Table 5). These 21 specimens have five label diagnoses. Two sub-groups emerge: i) seven specimens labelIed osteophytosis and one syphilis, and ii) five labelIed neoplasms. The changes and label diagnoses are too dispersed in the remaining nine specimens to have any value in this study. i) In the first sub-group the early stage is a thin smooth dull-surfaced layer of new bone on the inner surface of the calvaria.

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