河南淇县宋庄东周墓葬一例殉人骨骼上发现疑似类风湿关节炎
收稿日期: 2020-05-05
修回日期: 2021-01-13
网络出版日期: 2022-04-13
基金资助
2018年国家社科基金项目(18BKG012);“河南淇县宋庄东周贵族墓地考古发掘研究报告”阶段性成果
Possible rheumatoid arthritis found in a human sacrifice skeleton from the Eastern Zhou tomb of Songzhuang village, Qi county, Henan province
Received date: 2020-05-05
Revised date: 2021-01-13
Online published: 2022-04-13
孙蕾 . 河南淇县宋庄东周墓葬一例殉人骨骼上发现疑似类风湿关节炎[J]. 人类学学报, 2022 , 41(02) : 248 -260 . DOI: 10.16359/j.1000-3193/AAS.2021.0033
The purpose of this study is to describe and analyze the evidence for rheumatoid arthritis in a sample of human sacrifice skeleton uncovered from a noble tomb of eastern Zhou period at Qixian Songzhuang cemetery in Henan Province. The human sacrifice is characterized by numerous symmetrical surface erosions in the joints of the shoulder, elbow, wrist and hand, hip, knee, ankle, and foot. Radiographs revealed that osteoporosis was evident in the joints with erosions. The possibility of seronegative spondyloarthropathies cannot be completely ruled out due to the lack of preservation of all the vertebrae and both sacroiliac joints. However, by comparing the major differential signs for diagnosing various joint diseases, rheumatoid arthritis is suggested as the most probable cause of this pathology in the human sacrifice skeleton.
Key words： Rheumatoid arthritis; Erosion; Qixian; Eastern Zhou Tomb; Human sacrifice
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