A case of systemic connective tissue disorder in a Pazyryk male from the Altai Mountains
Автор: Aristova E.S., Chikisheva T.A., Pozdnyakov D.V., Elyasin P.A.
Журнал: Archaeology, Ethnology & Anthropology of Eurasia @journal-aeae-en
Статья в выпуске: 3 т.51, 2023 года.
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We present the results of an anthropological and paleopathological study of a male skeleton from a Pazyryk kurgan 1 burial 1 at Ak-Alakha-1, the Altai Mountains. The archaeological context testifi es to a rather high social status of this person. His appearance was modeled using a modern facial reconstruction method. The combination of craniometric and anthropometric traits indicates a brachycranic Caucasoid type, which predominated in the male population of the Volga-Ural region and Western Kazakhstan in 600–200 BC. The individual suffered from a systemic disorder of the connective tissue affecting virtually all parts of the skeleton. The case is unique, and the condition is diagnosed as DISH—diffuse idiopathic skeletal hyperostosis, possibly caused by grave metabolic and endocrine disorders. Judging by his physical type, the male was not native to the Altai Mountains and belonged to a population that was not genetically adapted to that region. This may account for the severity of the rheumatoid disorder, which was aggravated by 4th degree osteoporosis of lumbar vertebrae and pelvic bones and by traumatic lesions of the shoulder girdle.
Pazyryk culture, Altai Mountains, anthropological reconstruction, rheumatoid diseases, diffuse idiopathic skeletal hyperostosis (DISH)
Короткий адрес: https://sciup.org/145146916
IDR: 145146916 | DOI: 10.17746/1563-0110.2023.51.3.140-152
Список литературы A case of systemic connective tissue disorder in a Pazyryk male from the Altai Mountains
- Adzhigaytkanova S.K. 2013 Diagnostika i lecheniye otdelnykh form revmaticheskikh zabolevaniy s pozitsii dokazatelnoy meditsiny: Uchebnometod. posobiye. Moscow: Izd. Ros. Nats. Issled. Med. Univ. im. N.I. Pirogova.
- Avrunin A.S., Parshin L.K., Abolin A.B. 2006 Vzaimosvyaz morfofunktsionalnykh izmeneniy na raznykh urovnyakh ierarkhicheskoy organizatsii kortikalnoy kosti pri starenii. Morfologiya, vol. 129 (3): 22–29.
- Avrunin A.S., Tikhilov R.M., Klimov A.V. 2005 Stareniye kostnoy tkani: Teoreticheskoye obosnovaniye novykh putey optimizatsii protsessa mekhanotransduktsii. Morfologiya, vol. 128 (5): 19–28.
- Balueva T.S., Veselovskaya E.V. 2004 New developments in facial reconstruction. Archaeology, Ethnology and Anthropology of Eurasia, No. 1: 143–150.
- Blondiaux J., Fontaine C., Demondion X., Flipo R.-M., Colard T., Mitchell P. D., Buzon M., Walker P. 2012 Bilateral fractures of the scapula: Possible archaeological examples of beatings from Europe, Africa and America. International Journal of Paleopathology, vol. 2 (4): 223–230.
- Buzhilova A.P. 2005 Homo sapiens: Istoriya bolezni. Moscow: Yazyki slavyan. kultury.
- Gerasimov M.M. 1949 Osnovy vosstanovleniya litsa po cherepu. Moscow: Sov. nauka.
- Gerasimov M.M. 1955 Vosstanovleniye litsa po cherepu (sovremenniy I iskopayemiy chelovek). Moscow: Izd. AN SSSR. (TIE. Nov. Ser.; vol. XXVIII).
- Haeusler M., Trinkaus E., Fornai C., Müller J., Bonneau N., Boenia T., Frater N. 2019 Morphology, pathology, and the vertebral posture of the La Chapelle-aux-Saints Neandertal. Proceeding of the National Academy of Sciences, vol. 116 (11): 4923–4927.
- Holgate R.L.V., Steyn M. 2016 Diffuse idiopathic skeletal hyperostosis: Diagnostic, clinical, and paleopathological considerations. Clinical anatomy, vol. 29 (7): 870–877.
- Ivashkin V.T., Sultanov V.K. 2005 Bolezni sustavov: Propedevtika, differentsialniy diagnoz, lecheniye. Moscow: Litterra.
- Kacki S., Villotte S., Knüsel C.J. 2011 Baastrup’s sign (kissing spines): A neglected condition in paleopathology. International Journal of Paleopathology, vol. 1 (2): 104–110.
- Karapetian M., Mkrtchyan R., Simonyan H. 2019 Ankylosing spondylitis: Antiquity and differential diagnosis a case study of a Bronze Age skeleton from Norabak, southeastern Armenia. Homo, vol. 70 (3): 171–183.
- Kavalerovskiy G.M., Chenskiy A.D., Makirov S.K., Cherepanov V.G., Smolyanskiy Y.Z., Lisenkov K.A. 2008 Gemangiomy pozvonochnika: Znacheniye luchevoy diagnostiki. Radiologiya – praktika, No. 1: 23–30.
- Kitov E.P., Mamedov A.M. 2014 Kochevoye naslediye Zapadnogo Kazakhstana v rannem zheleznom veke. Astana: Fil. Inst. Arkheologii im. A.K. Margulana v g. Astana.
- Klaus M., Novak M., Bavka M. 2012 Four cases of ankylosing spondylitis in medieval skeletal series from Croatia. Rheumatology International, vol. 32 (12): 3985–3992.
- Kravtsov M.N., Manukovskiy V.A., Manashchuk V.I., Svistov D.V. 2015 Diagnostika i lecheniye agressivnykh gemangiom pozvonkov: Klinicheckiye rekomendatsii. Moscow: Assotsiatsiya neyrokhirurgov Rossii.
- Lebedinskaya G.V. 1998 Rekonstruktsiya litsa po cherepu (metodicheskoye rukovodstvo). Moscow: Stariy sad. Mader R., Sarzi-Puttini P., Atzeni F., Olivieri I., Pappone N., Verlaan J.-J., Buskila D. 2009 Extraspinal manifestations of diffuse idiopathic skeletal hyperostosis. Rheumatology, vol. 48: 1478–1481.
- Mazières B. 2013 Diffuse idiopathic skeletal hyperostosis (Forestier-Rotes- Queroldisease): What’s new? Joint Bone Spine, vol. 80: 466–470.
- Naseleniye Gornogo Altaya v epokhu rannego zheleznogo veka kak etnokulturniy fenomen: Proiskhozhdeniye, genesis, istoricheskiye sudby (po dannym arkheologii, antropologii, genetiki). 2003 V.I. Molodin, M.I. Voevoda, T.A. Chikisheva, A.G. Romashchenko, N.V. Polosmak, E.O. Shulgina, M.V. Nefedova, I.V. Kulikov, L.D. Damba, M.A. Gubina, V.F. Kobzev. Novosibirsk: Izd. SO RAN.
- Nikitin S.A. 2009 Plasticheskaya rekonstruktsiya portreta po cherepu. In Nekropol russkikh velikikh knyagin i tsarits v Voznesenskom monastyre moskovskogo Kremlya. In 4 vols. Vol. 1: Istoriya usypalnitsy i metodika issledovaniya zakhoroneniy. Moscow: Gos. Ist.-Kult. Muzey-Zapovednik “Moskovskiy Kreml”, pp. 137–167.
- Pate D., Kursunoglu S., Resnick D., Resnik C.S. 1985 Scapular foramina. Skeletal Radiology, vol. 14: 270–275.
- Pilipenko A.S., Trapezov R.O., Polosmak N.V. 2015 A paleogenetic study of Pazyryk people buried at Ak-Alakha-1, the Altai Mountains. Archaeology, Ethnology and Anthropology of Eurasia, vol. 43 (4): 147–153.
- Pillai S., Littlejohn G. 2014 Metabolic factors in diffuse idiopathic skeletal hyperostosis: A review of clinical data. The Open Rheumatology Journal, vol. 8: 116–128.
- Polosmak N.V. 1994 Steregushchiye zoloto grify. Novosibirsk: Nauka.
- Polosmak N.V. 2001 Vsadniki Ukoka. Novosibirsk: INFOLIO-press. Prives M.G., Lysenkov N.K., Bushkovich V.I. 2006 Anatomiya cheloveka. St. Petersburg: Izd. dom Sankt-Peterburg. akademii poslediplom. obrazovaniya.
- Resnick D., Niwayama G. 1976 Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH). Radiology, vol. 119: 559–568.
- Riggs B.L., Melton III L.J. 2000 Osteoporoz: Etiologiya, diagnostika, lecheniye. Moscow: Binom, St. Petersburg: Nevskiy dialekt.
- Rogers J., Waldron T. 2001 DISH and monastic way of life. International Journal of Osteoarchaeology, vol. 11: 357–365.
- Rokhlin D.G. 1965 Bolezni drevnikh lyudey. Moscow, Leningrad: Nauka.
- Rudenko S.I. 1953 Kultura naseleniya Gornogo Altaya v skifskoye vremya. Moscow, Leningrad: Izd. AN SSSR.
- Skryabina E.N., Magdeeva N.A., Korneeva Y.M. 2020 Ankiloziruyushchiy giperostoz pozvonochnika ili bolezn Forestye: Trudnosti diagnostiki ili nedostatochnaya osvedomlennost? Arkhiv vnutrenney meditsiny, vol. 10 (1): 68–73.
- Starkova A.S., Erdes S.F. 2016 Slozhnosti v diagnostike idiopaticheskogo giperostoza skeleta (bolezni Forestye). Nauchno-prakticheskaya revmatologiya, vol. 54 (1): 80–82.
- Turdialieva S.A., Mozharovskaya E.A., Kudrina O.M., Cherkashin D.V. 2015 Naiboleye chasto vstrechayushchiyesya zabolevaniya sustavov: Aktualniye voprosy diagnostiki i lecheniya. Vestnik Rossiyskoy voyenno-meditsinskoy akademii, No. 3 (51): 227–233.
- Veselovskaya E.V. 2015 Kraniofatsialniye proportsii v antropologicheskoy rekonstruktii. Etnograficheskoye obozreniye, No. 2: 83–98.
- Zharkov P.L. 1994 Osteokhondroz i drugiye distroficheskiye izmeneniya pozvonochnika u vzroslykh i detey. Moscow: Meditsina.