TY - JOUR
T1 - A Neolithic case of fibrous dysplasia from Çatalhöyük (Turkey)
AU - Milella, Marco
AU - Knüsel, Christopher J.
AU - Haddow, Scott D.
PY - 2016/12/1
Y1 - 2016/12/1
N2 - The vast majority of primary burials at Neolithic Çatalhöyük (Central Anatolia, Turkey, 7100–6000 cal BC) are recovered from beneath house floors, with burials in external spaces extremely rare. Excavations at Çatalhöyük in 1998 brought to light a young adult male buried in a midden (a burial location observed so far for only 4 out of 440 individuals), showing a suite of pathological features affecting the entire skeleton. The observed pathological changes include perimortem and antemortem fractures, proliferative and resorptive areas, thinning of the bone cortex, and localized areas of disorganized spongy bone invaded by fibrous tissue. We propose a differential diagnosis by considering a set of conditions: Paget's disease, osteomyelitis, hyperparathyrhoidism, Ollier's disease, fibrosarcoma, and fibrous dysplasia. The severity and distribution of the observed skeletal changes are consistent with a diagnosis of polyostotic fibrous dysplasia, a possibly debilitating and disfiguring condition. This, together with an unusual depositional context, may suggest a socially-mediated reaction to this individual's infirmity.
AB - The vast majority of primary burials at Neolithic Çatalhöyük (Central Anatolia, Turkey, 7100–6000 cal BC) are recovered from beneath house floors, with burials in external spaces extremely rare. Excavations at Çatalhöyük in 1998 brought to light a young adult male buried in a midden (a burial location observed so far for only 4 out of 440 individuals), showing a suite of pathological features affecting the entire skeleton. The observed pathological changes include perimortem and antemortem fractures, proliferative and resorptive areas, thinning of the bone cortex, and localized areas of disorganized spongy bone invaded by fibrous tissue. We propose a differential diagnosis by considering a set of conditions: Paget's disease, osteomyelitis, hyperparathyrhoidism, Ollier's disease, fibrosarcoma, and fibrous dysplasia. The severity and distribution of the observed skeletal changes are consistent with a diagnosis of polyostotic fibrous dysplasia, a possibly debilitating and disfiguring condition. This, together with an unusual depositional context, may suggest a socially-mediated reaction to this individual's infirmity.
KW - Fibrous invasion
KW - Fractures
KW - Midden
KW - Prehistory
UR - http://www.mendeley.com/research/neolithic-case-fibrous-dysplasia-%C3%A7atalh%C3%B6y%C3%BCk-turkey
U2 - 10.1016/j.ijpp.2016.09.001
DO - 10.1016/j.ijpp.2016.09.001
M3 - Journal article
SN - 1879-9817
VL - 15
SP - 10
EP - 18
JO - International Journal of Paleopathology
JF - International Journal of Paleopathology
ER -