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  • 标题:Erosive Arthritis of the Foot with Characteristic Features of Tophaceous Gout in the Jomon Skeletal Population
  • 本地全文:下载
  • 作者:Koji Inoue ; Shinsuke Hukuda ; Masashi Nakai
  • 期刊名称:Anthropological Science
  • 印刷版ISSN:0918-7960
  • 电子版ISSN:1348-8570
  • 出版年度:1998
  • 卷号:106
  • 期号:3
  • 页码:221-228
  • DOI:10.1537/ase.106.221
  • 语种:English
  • 出版社:The Anthropological Society of Nippon
  • 摘要:We describe the oldest evidence of gout from skeletal remains found in Asia. A middle-aged male skeleton excavated from the shell mound at Ohta in Onomichi-city, Hiroshima prefecture, Western Japan (the middle Jomon period: 4500-3500 BP), showed erosive arthritis in the forefoot. The characteristic feature of the erosions observed in the present skeleton is a periosteal bone apposition at the outer aspect of the involved cortex and a “punched-out” configuration as seen in radiographs. In addition to thesepaleopathological indings, a pauciarticular nature, involvement of the forefoot, male gender and a lack of perilesional osteopenia provided further support for the diagnosis of tophaceous gout. Because gout is associated with good nutrition, the presence of some well-nourished society in Jomon period should be considered.
  • 关键词:gout;Jomon;skeleton;punched-out lesion
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