Paleopathology in osseous remains from the 16th century. A survey of rheumatic diseases.
OBJECTIVE
To describe the rheumatic conditions found in skeletal remains of Amerindian ancestry disinterred from a 16th century Mexican cemetery.


METHODS
A physical anthropologist and 2 rheumatologists surveyed the recovered skeletal remains.


RESULTS
We examined the skeletal remains of 443 subjects. We found 19 cases of Pott's disease, 17 of osteoarthrosis in various anatomical locations, 2 spondyloarthropathies, probably ankylosing spondylitis or diffuse idiopathic skeletal hyperostosis, one probable septic arthritis in the stemoclavicular joint, and 2 compression fractures of the spine. We found no cases of gout or rheumatoid arthritis.


CONCLUSIONS
This is the first report on the presence of rheumatic conditions in colonial Mexico. Studying the remains of these populations can provide useful information about the origin and evolution of different rheumatic conditions.
Aceves-Avila
F J
FJ
Department of Rheumatology, Hospital de Especialidades, Centro Médico Nacional Siglo XXI Instituto Mexicano del Seguro Social, México City, Mexico.
Báez-Molgado
S
S
Medina
F
F
Fraga
A
A
D000328:Adult; D000368:Aged; D001170:Arthritis, Infectious / Q000453:epidemiology / Q000266:history; D001842:Bone and Bones / Q000473:pathology*; D005260:Female; D049669:History, 16th Century; D006801:Humans; D007198:Indians, North American / Q000266:history*; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D010003:Osteoarthritis / Q000453:epidemiology / Q000266:history; D010164:Paleopathology; D012216:Rheumatic Diseases / Q000453:epidemiology / Q000266:history*; D013122:Spinal Diseases / Q000453:epidemiology / Q000266:history; D014399:Tuberculosis, Spinal / Q000453:epidemiology / Q000266:history