Well-preserved Skeleton Research Articles

Using portable X-ray fluorescence elemental analysis to explore porous skeletal lesions: Interplay of sex, age at death, and cause of death.

Search for possible associations between bone elemental concentration and the presence of porous skeletal lesions (PSLs), considering the sex, age, and cause of death (COD) of the individuals. The sample comprised 107 non-adult individuals (56 females, 51 males) aged 0-20 (x̄ = 13.2, SD = 5.8) from the Coimbra and Lisbon Identified Skeletal Collections. Cribra cranii, orbitalia, humeralis, and femoralis were recorded as present/absent, and elemental concentrations were assessed by portable x-ray fluorescence (pXRF). A multivariate statistical approach was applied. Well-preserved skeletons with minimal diagenesis showed no sex-related elemental variations or PSL associations. In contrast, age-at-death correlated with elevated Ca, P, Sr, and Pb levels. Cribra cranii increased with age while other cribra declined post-adolescence. Higher concentrations of Fe and lower of S were linked to cribra cranii. Respiratory infections as COD increased the odds of expressing cribra femoralis (OR = 5.25, CI = 1.25-15.14), cribra cranii (OR = 2.91, CI = 0.97-8.69), and cribra orbitalia (OR = 2.76, CI = 1.06-7.24). Feasible pXRF results and low cribra intraobserver error assure replicability. Elevated Ca, P, and Sr in older individuals may relate to skeletal growth, while increased Pb suggests bioaccumulation. Cribra's increase with age reflects different rates of marrow conversion and bone remodeling. Higher Fe and lower S in individuals with cribra cranii possibly reflects poor nutrition, early alcohol use, and sideroblastic anemia, aligning with 19th-20th-century Portugal's living conditions. Respiratory infections increased cribra expression, revealing intricate interplays among inflammation, anemia(s), marrow expansion, and diet. This research highlights a complex scenario and blazes a new path for cribra interpretation.

The history of palaeontological research and excavations at Monte San Giorgio

There is a long history of palaeontological excavations at Monte San Giorgio (Switzerland) and the adjoining Monte Pravello—Monte Orsa (Italy), aimed at finding well-preserved skeletons of Middle Triassic vertebrates. The first fossils were discovered in the mid-Nineteenth Century during mining of black shales (scisti bituminosi) near Besano, Italy, with further finds in the early Twentieth Century through industrial-scale mining. Studies of the material generated international interest and prompted formal palaeontological excavations on both sides of the border. The earliest excavations took place in 1863 and 1878, with the most extensive between 1924 and 1968. Systematic excavations have continued up to the present day, focusing on six distinct fossiliferous horizons: the Besano Formation and the overlying Meride Limestone with the Cava inferiore, Cava superiore, Cassina, Sceltrich and Kalkschieferzone beds. All these have provided material for study and display, with Monte San Giorgio itself recently designated a UNESCO World Heritage Site. The workers and organisations involved, locations excavated and material recovered are described herein.

Metric analysis of the patella for sex estimation in a Portuguese sample.

The biological profile estimation is the first step toward positive identification. However, it is not always possible to access a complete and well-preserved skeleton due to postmortem damage and taphonomic changes. As such, there is a need to develop new alternatives to analyze different bones of the human skeleton. The present study aims to analyze the patellar osteometry, with attention to its degree of sexual dimorphism, to establish a simple method for estimating sex in Portuguese adults. Six measurements were taken from 222 patella pairs, including 117 females and 105 males from the XXI Century Identified Skeleton Collection of the University of Coimbra. Subsequently, this method was validated in a different sample of 50 individuals equally representing both sexes. Maximum height stands out with a 77.0% of correct sex estimation, reaching 98.0% when applied to the new sample. The linear discriminant function analysis containing all the six variables showed the best results, with 80.2% of correct classification after cross-validation and 96.0% when applied to the independent sample.

The redescription of Malerisaurus robinsonae (Archosauromorpha: Allokotosauria) from the Upper Triassic lower Maleri Formation, Pranhita-Godavari Basin, India.

Allokotosauria, a clade of non-archosauriform archosauromorphs with a broad diversity of body plans, plays a crucial role in better understanding the evolutionary history of early diverging stem-archosaurs. Here we provide a detailed redescription of Malerisaurus robinsonae, a malerisaurine allokotosaur from the middle Carnian-lowermost Norian lower Maleri Formation, Pranhita-Godavari Basin, India. The new anatomical information available from recently discovered and well-preserved skeletons of various allokotosaurs, such as Azendohsaurus madagaskarensis, Shringasaurus indicus, Puercosuchus traverorum, and Malerisaurus-like taxa, and their comparison with Malerisaurus robinsonae enriches our understanding of the anatomy of this species. To reassess the phylogenetic relationships of Malerisaurus robinsonae, we revised its scorings and included eight additional allokotosaurian species to the already most comprehensive phylogenetic dataset focused on Permo-Triassic archosauromorphs. We modified 70 scorings for Malerisaurus robinsonae and the new analysis recovered this species at the base of Malerisaurinae and this group as the earliest branch of Azendohsauridae. Pamelaria dolichotrachela is found as the earliest diverging non-malerisaurine azendohsaurid and sister taxon to the Shringasaurus indicus + Azendohsaurus spp. clade. Trilophosaurid interrelationships are well resolved, with Teraterpeton hrynewichorum, Coelodontognathus ricovi, and Rutiotomodon tytthos as their successive earliest-branching species. The position of Anisodontosaurus greeri as a sister taxon to Variodens inopinatus bolsters long ghost lineages in the Late Triassic trilophosaurid record. A disparity analysis of tooth crown morphology shows that Allokotosauria is the most disparate Permo-Triassic archosauromorph clade, exploring the almost complete range of basic crown morphologies. Trilophosaurids occupy an area of the dental morphospace unique among archosauromorphs.

Ageing and disease risk factors: A new paleoepidemiological methodology for understanding disease in the past

ObjectivesTo outline a methodology that enables the reconstruction of age-related disease risk in past societies. MaterialsModern epidemiological evidence considering risk factors for age-related disease is combined with contextual information about an archaeological society of interest. MethodsData gathered is used to create a qualitative population-specific risk model for the disease of interest. To provide a case study, a risk model is constructed for Chronic Obstructive Pulmonary Disease (COPD) in the Eastern English Bronze Age. ResultsThis enables the first rigorous approach to reconstructing age-related disease risk in the past. A risk model shows a high degree of COPD risk in the Eastern English Bronze Age, with a major contribution from indoor airborne pollution and agricultural practices. SignificanceThis represents a significant new approach in human paleopathology, facilitating understanding of the occurrence of a wide variety of diseases in the past, without the need for well-preserved skeletons of identified elderly individuals. LimitationsThe risk models generated are, of necessity, qualitative rather than quantitative, since we are unable to calculate the size of risk factors in the past with certainty. Suggestions for further researchThe methodology could be applied to a wide variety of diseases and for many past societies.

Случай вторичной гипертрофической остеоартропатии у женщины из погребения некрополя Соборного холма г. Вязьмы (XIII в.)

The necropolis at the Cathedral Hill in Vyazma is mainly dated to the late 13th c. AD, and likely contains burials of the citizens of a high social status. A complete and well-preserved skeleton of a 35–40 year old female was excavated from Burial 15 of the necropolis. Almost all the bones of both upper and lower limbs were deformed due to excessive deposits of bone (periostitis) in the diaphyseal and metaphyseal areas. A combination of macroscopic and radiological – x-ray and microfocus computed tomography – has revealed that the lesions were likely manifestations of the Pierre-Marie-Bamberger syndrome, or secondary hypertrophic osteoarthropathy (HOA). This bone pathology accompanies some chronic diseases of the lungs and pleura (including benign and malignant tumors, tuberculous lesions, etc.), mediastinum and heart, and also, less frequently, other organs and systems. The exact disease that caused the observed bone lesions cannot be determined due to the absence of soft tissues. However, a detailed description of the skeletal manifestation of this pathology, in our opinion, can facilitate the detection and interpretation of periostitis of this type and localization in archeological remains of varying preservation and completeness. Noteworthy, this syndrome is, in 80% of clinical cases, associated with various lung diseases.

New postcranial remains from the Lealt Shale Formation of the Isle of Skye, Scotland, showcase hidden pterosaur diversity in the Middle Jurassic

The Early to Middle Jurassic transition was significant in pterosaur evolution, during which these volant reptiles exploded in diversity alongside dinosaurs and other animals. It has long been thought, however, that pterosaurs did not develop large wingspans until after the Jurassic, a notion challenged by the recent discovery of Dearc sgiathanach in the Bathonian-aged Lealt Shale Formation of the Isle of Skye, Scotland, whose holotype specimen had an estimated wingspan greater than 2.5 m. We here report the discovery of a new pterosaur specimen from the Lealt Shale Formation, comprising a tibiotarsus, metatarsal, pedal phalanges and caudal vertebrae. The elongate tail vertebrae with ossified processes indicate that the specimen is a non-pterodactyloid pterosaur, albeit its fragmentary nature makes it difficult to determine whether it belongs to a new taxon. Its metatarsal and caudal vertebrae are considerably larger than corresponding bones in the Dearc holotype, indicating that it belonged to an even larger individual, thus demonstrating that pterosaurs with broad wingspans were not anomalous in the Middle Jurassic. The growing Middle Jurassic pterosaur record of Scotland and England, although mostly represented by isolated and fragmentary fossils, reveals a high diversity of clades, long obscured by the lack of well-preserved skeletons.

A non-avian dinosaur with a streamlined body exhibits potential adaptations for swimming

Streamlining a body is a major adaptation for aquatic animals to move efficiently in the water. Whereas diving birds are well known to have streamlined bodies, such body shapes have not been documented in non-avian dinosaurs. It is primarily because most known non-avian theropods are terrestrial, barring a few exceptions. However, clear evidence of streamlined bodies is absent even in the purported semiaquatic groups. Here we report a new theropod, Natovenator polydontus gen. et sp. nov., from the Upper Cretaceous of Mongolia. The new specimen includes a well-preserved skeleton with several articulated dorsal ribs that are posterolaterally oriented to streamline the body as in diving birds. Additionally, the widely arched proximal rib shafts reflect a dorsoventrally compressed ribcage like aquatic reptiles. Its body shape suggests that Natovenator was a potentially capable swimming predator, and the streamlined body evolved independently in separate lineages of theropod dinosaurs.

Carbon and oxygen isotope fractionation in the Late Devonian heterocoral Oligophylloides: Implications for the skeletogenesis and evolution of the Heterocorallia

The order Heterocorallia is an enigmatic, anatomically distinct group of calcifying Palaeozoic corals with unclear affinities to other, either extinct or modern cnidarian lineages. Here, we present results of microstructure and stable isotope studies on exceptionally well-preserved skeletons of two species of the heterocoral Oligophylloides from the Famennian (Upper Devonian) of the Anti-Atlas, Morocco and the Holy Cross Mountains, Poland. The investigations provide new information on the skeletogenesis and isotope fractionation effects in Palaeozoic heterocorals. In order to estimate the possible role of diagenetic alteration on the observed carbon and oxygen isotope ratios, we have conducted several preservation tests, including transmitted-light, scanning-electron, fluorescence and cathodoluminescence microscopy, Raman spectroscopy, and trace element analyses. The least- and most-altered skeleton portions identified based on this approach are typified by clearly different isotopic signatures. The least-altered parts of the specimens reveal carbon and oxygen isotope ratios close to those of contemporaneous marine-equilibrated calcites. The moderately-pronounced, positive correlations between the δ13C and δ18O values observed for these coralla may reflect relatively minor vital fractionation effects, obscured to some degree by diagenetic overprint. The results suggest that the isotope fractionation mechanisms of the heterocorals differed markedly from the significant kinetic fractionation characteristic of the modern scleractinian corals. Rather, the moderate, if any, extent of non-equilibrium fractionation during skeletogenesis in the Heterocorallia resembled the typical, environmental and metabolic CO2-dominated fractionation effects shown by most other marine calcifiers. These include the extinct rugose corals, modern hydrocorals and, in particular, modern octocorals, with which the heterocorals show notable architectural and structural similarities.

A skeleton from the Middle Jurassic of Scotland illuminates an earlier origin of large pterosaurs

Pterosaurs were the first vertebrates to evolve flight1,2 and include the largest flying animals in Earth history.3,4 While some of the last-surviving species were the size of airplanes, pterosaurs were long thought to be restricted to small body sizes (wingspans ca. <1.8-1.6 m) from their Triassic origins through the Jurassic, before increasing in size when derived long-skulled and short-tailed pterodactyloids lived alongside a diversity of birds in the Cretaceous.5 We report a new spectacularly preserved three-dimensional skeleton from the Middle Jurassic of Scotland, which we assign to a new genus and species: Dearc sgiathanach gen. et sp. nov. Its wingspan is estimated at >2.5 m, and bone histology shows it was a juvenile-subadult still actively growing when it died, making it the largest known Jurassic pterosaur represented by a well-preserved skeleton. A review of fragmentary specimens from the Middle Jurassic of England demonstrates that a diversity of pterosaurs was capable of reaching larger sizes at this time but have hitherto been concealed by a poor fossil record. Phylogenetic analysis places D.sgiathanach in a clade of basal long-tailed non-monofenestratan pterosaurs, in a subclade of larger-bodied species (Angustinaripterini) with elongate skulls convergent in some aspects with pterodactyloids.6 Far from a static prologue to the Cretaceous, the Middle Jurassic was a key interval in pterosaur evolution, in which some non-pterodactyloids diversified and experimented with larger sizes, concurrent with or perhaps earlier than the origin of birds. VIDEO ABSTRACT.

The most complete extinct species of Testudo (Testudines, Testudinidae) defined by several well-preserved skeletons from the late Miocene of Romania

The genus Testudo was considered, for more than two centuries, to group almost all tortoises that are part of current biodiversity (i.e. the members of Testudinidae), as well as the extinct representatives of that successful lineage. However, only three extant species, as well as scarce late Miocene to late Pliocene extinct ones, are now considered attributable to that genus. The fossil record of the extinct representatives is restricted to postcranial elements. They correspond almost exclusively to shells or partial shells, most of the species being known on the basis of only one individual. Abundant material of testudinids from the late Miocene of eastern Romania (Crețești 1 fossil site, Vaslui County) is presented here. This material is attributable to Testudo, representing a new species. This find is not only relevant for the abundance of specimens, but they stand out for their unusually good preservation. Most of them are represented by partial skeletons, preserving not only several bones in anatomical connection but also some regions of the peculiar ossified dermal armour that covered their limbs. Two of these skeletons preserve the skull, which allows us to perform both the first three-dimensional reconstruction of the cranial anatomy and the first neuroanatomical study of an extinct member of Testudo. The best-preserved extinct species of the reference genus of the only extant lineage of tortoises (i.e. Testudinidae), Testudo lohanica sp. nov., is characterized in detail.

A Cadaveric Anatomical Study of the Relationship between Proximal Tibial Slope and Coronal Plane Deformity.

Medial proximal tibial angle (MPTA) and posterior proximal tibial angle (PPTA) are commonly used to characterize the geometry of proximal tibia and are important considerations in lower extremity realignment procedures and total knee arthroplasty. This study utilized a large cadaveric collection to explore relationships between tibial slope and coronal plane deformity of the tibia. We utilized 462 well-preserved skeletons (924 tibiae), excluding any with fracture or obvious rheumatologic or infectious findings. Custom cards were made with different sized arcs on the bottom surface, so that they could rest on the anterior and posterior aspects of the medial and lateral tibial plateaus of each bone to measure PPTA. Previously measured MPTA values for the same bones were also utilized. Multiple regression analysis was used to determine relationship between MPTA and medial and lateral PPTAs. The mean age was 56 ± 10 years, with 13% female and 31% African American (remainder Caucasian). The mean MPTA was 87.2 ± 2.4 degrees. The mean medial plateau PPTA was 81.5 ± 3.8 degrees and mean lateral plateau PPTA was 81.3 ± 3.7 degrees. Regression analysis found that MPTA was significantly associated with both medial and lateral PPTAs (standardized betas 0.197 and 0.146, respectively, p < 0.0005 for both). There was a significant correlation between lateral and medial PPTAs (r = 0.435, p = 0.03). The clinical significance of these findings warrants further investigation and emphasizes the importance of carefully assessing the sagittal plane when planning reconstruction of a tibia with varus or valgus deformity, particularly high tibial osteotomies.

A new species of Cricosaurus (Thalattosuchia, Metriorhynchidae) based upon a remarkably well-preserved skeleton from the Upper Jurassic of Germany

A new species of Cricosaurus (Thalattosuchia, Metriorhynchidae) based upon a remarkably well-preserved skeleton from the Upper Jurassic of Germany

Phylogenetic placement of Adalatherium hui (Mammalia, Gondwanatheria) from the Late Cretaceous of Madagascar: implications for allotherian relationships

ABSTRACT The phylogenetic position of Gondwanatheria within Mammaliaformes has historically been controversial. The well-preserved skeleton of Adalatherium hui from the Late Cretaceous of Madagascar offers a unique opportunity to address this issue, based on morphological data from the whole skeleton. Gondwanatheria were, until recently, known only from fragmentary dental and mandibular material, as well as a single cranium. The holotype of A. hui provides the first postcranial skeleton for gondwanatherians and substantially increases the amount of character data available to score. We sampled 530 characters and 84 cynodonts (including 34 taxa historically affiliated with Allotheria) to test the phylogenetic relationships of Gondwanatheria and Allotheria using parsimony, undated Bayesian, and tip-dated Bayesian methods. We tested three lower dental formulae for Adalatherium, because its postcanines are distinctly different from those of other mammaliaforms and cannot readily be homologized with any known dental pattern. In all analyses, Adalatherium is recovered within Gondwanatheria, most frequently outside of Sudamericidae or Ferugliotheriidae, which is congruent with establishment of the family Adalatheriidae. The different dental coding schemes do not greatly impact the position of Adalatherium, although there are differences in character optimization. In all analyses, Gondwanatheria are placed within Allotheria, either as sister to Multituberculata, nested within Multituberculata, or as sister to Cifelliodon (and Euharamiyida), or in a polytomy with other allotherians. The composition of Allotheria varies in our analyses. The haramiyidans Haramiyavia and Thomasia are placed outside of Allotheria in the parsimony and tip-dated Bayesian analyses, but in a polytomy with other allotherians in the undated Bayesian analyses.

Fibro-osseous processes (FOPs) of the craniofacial skeleton: A neglected entity in paleopathology?

Discrete, small, roundish lesions of localized porous bone can be occasionally seen in the craniofacial skeleton. Such lesions are rarely mentioned and only occur as an incidental discovery being assigned to plenty of diagnoses. As an example, such multiple small lesions of the facial skeleton in a well-preserved skeleton of a 40-60 year old male of the Hunno-Sarmatian Period from Kazakhstan, are discussed. Some of the lesions were examined by digital microscopy, plain radiography, and plain and polarizing microscopy. Considering possible differential diagnoses of vascular, traumatic, inflammatory/reactive, metabolic, and neoplastic entities, as well as developmental conditions, its microscopic characteristics point to a fibro-osseous process. This paper intends to open a discussion on the diagnosis of such lesions, which have been relatively neglected in previous research.

Skeleton of aCretaceous mammal from Madagascar reflects long-term insularity.

The fossil record of mammaliaforms (mammals and their closest relatives) of the Mesozoic era from the southern supercontinent Gondwana is far less extensive than that from its northern counterpart, Laurasia1,2. Among Mesozoic mammaliaforms, Gondwanatheria is one of the most poorly known clades, previously represented by only a single cranium and isolated jaws and teeth1-5. As a result, the anatomy, palaeobiology and phylogenetic relationships of gondwanatherians remain unclear. Here we report the discovery of an articulated and very well-preserved skeleton of a gondwanatherian of the latest age (72.1-66million years ago) of the Cretaceous period from Madagascar that we assign to a new genus and species, Adalatherium hui. To our knowledge, the specimen is the most complete skeleton of a Gondwanan Mesozoic mammaliaform that has been found, and includes the only postcranial material and ascending ramus of the dentary known for any gondwanatherian. A phylogenetic analysis including the new taxon recovers Gondwanatheria as the sister group to Multituberculata. The skeleton, which represents one of the largest of the Gondwanan Mesozoic mammaliaforms, is particularly notable for exhibiting many unique features in combination with features that are convergent on those of therian mammals. This uniqueness is consistent with a lineage history for A.hui of isolation on Madagascar for more than 20million years.

Syphilis in Maria Salviati (1499–1543), Wife of Giovanni de’ Medici of the Black Bands

Researchers from the Division of Paleopathology of Pisa University (Pisa, Italy) exhumed the well-preserved skeleton of Maria Salviati (1499–1543), wife of Giovanni de’ Medici, named “Giovanni of the Black Bands,” in Florence in 2012. Many lytic lesions had affected the skull of Maria on the frontal bone and on the parietal bones. These lesions are pathognomonic for syphilis. An ancient diagnosis of syphilis for Maria Salviati does not emerge from the historical sources, although the symptoms manifested in her last years of life are compatible with a colorectal localization, including severe hemorrhages, caused by syphilitic infection. The case of Maria Salviati can be compared with those of other famous Italian noblewomen of the Renaissance, such as Isabella of Aragon (1470–1524) and Maria of Aragon (1503–1568). Paleopathology made it possible to directly observe a “secret illness” to which noblewomen were susceptible as a result of the sexual conduct of their husbands.

Chirotherium and first Asian Rhynchosauroides tetrapod trackways from the Middle Triassic of Yunnan, China

ABSTRACT The Middle Triassic (Anisian) Guanling Formation in Yunnan and Guizhou provinces, southwestern China, is well-known for its marine-reptile fauna with numerous well-preserved skeletons. Tetrapod footprints from this unit have been reported of both terrestrial and marine forms documenting a marginal marine environment in the eastern Tethys region. In particular Chirotherium barthii, an ichnospecies that is characteristic of the Middle Triassic (Anisian), was formerly described from the Guanling Formation of Guizhou Province. Recently chirotheriid tracks were also reported from deposits of this unit in Yunnan Province. Here we provide the first detailed documentation of this tracksite. Furthermore, we assign these trackways to the ichnospecies Chirotherium barthii, based on identical features in footprint morphology. Additionally, from the same surface, we describe the first tracks and trackways of the lacertoid ichnogenus Rhynchosauroides from the Asian continent. Trackmakers of C. barthii are non archosaurian archosauriforms or members of the archosaur crown-group, while Rhynchosauroides can be attributed either to lepidosauromorph or archosauromorph diapsids. The environment was a coastal area along the eastern Tethys, with marine, semi-aquatic and terrestrial tetrapods leaving their footprints in the carbonatic sediment of mudflats and lagoons when searching for food, that possibly consisted of small marine invertebrates or the small lacertoid forms being the prey of the larger archosaurs.

Non-metric traits, physiological stress indicators and paleopathological lesion on human skeletal remains from an early modern cemetery in Wyszyński Street, Wrocław, Poland (15th–18th centuries AD)

The anthropological analysis and assessment of the living conditions of historical populations should be comprehensive. Due to the scarcity of the well-preserved skeletal remains of a population buried at the cemetery in Wyszyński Street, Wrocław, each piece of information is particularly important in providing the complementary information about living and health conditions of late medieval and early modern inhabitants of Wrocław. This study aims to assess the living conditions of the late medieval and early modern Wrocław inhabitants. This aim was reached by analyzing the frequency of non-metrical cranial and postcranial traits, physiological stress indicators, and pathological lesions. The importance of these traits for population studies is also discussed. For 98 skeletons (22.4% male and 37.8% female) from a cemetery located in Wyszyński Street, (15th –18th centuries AD), the frequencies (p) of the following traits were analyzed: 38 non-metric cranial and 9 post-cranial traits, the morphological indicators of physiological stress (i.e. cribra orbitalia and enamel hypoplasia), caries and pathological lesions on bones. Among the non-metric cranial traits, only nine (23.7%) were not observed. The most frequent (from p= 0.30 to p=0.65) were foramen parietale, incisura frontalis accesoria seu foramen frontale accesorius, foramen supraorbitale, M3 mandibulare, ossicula suturae lambdoideae, and foramen mastoideum extrasuturale. Only three non-metric post-cranial traits were observed, but with low frequency (p=0.01 and 0.02). Cribra orbitalia was present in 37.0% of the skeletons while enamel hypoplasia was present in only 2.6%. Susceptibility to caries occurred in 68% of the cases while carries lesions occurred in 31.2%. Among pathological changes, the most frequent were degenerative changes (21.6%) and injuries (19.6%). Owing to the poorly preserved remains, the complete assessment of the living conditions of the population was difficult. The number of the observed traits would have probably increased, had the number of complete and well-preserved skeletons been higher. The results of the study suggest that the living conditions of the studied population were poor. It is hypothesized that the cemetery was a burial place for prisoners and victims of various epidemics that affected the city. But since the historical sources of this cemetery are scarce, it is hard to unequivocally state its purpose with certainty.

A case of erosive polyarthropathy from Medieval northern Italy (12th–13th centuries)

ObjectiveTo evaluate and differentially diagnose erosive skeletal lesions located on multiple joints of an individual archaeologically recovered in 2017. MaterialsSkeletal remains of a well-preserved skeleton dating to the 12th–13th centuries from the medieval church of San Biagio in Cittiglio (Varese, northern Italy). MethodsMacroscopic and radiographic imaging. ResultsErosive marginal symmetrical lesions are present on the metatarsophalangeal, metacarpophalangeal and interphalangeal joints of an adult male, aged 55–75 years. Osteolytic changes, in the form of pocket erosions, surface resorptions and pseudocyst formations, are also macroscopically observed on some carpal and tarsal bones and on several large peripheral joints. ConclusionsA careful differential diagnosis of the lesions and their macroscopic and radiological appearance is suggestive of a case of rheumatoid arthritis-like polyarthropathy. SignificanceThis case contributes to the debate regarding the antiquity of erosive polyarthropathies, providing additional evidence for the existence of these diseases in the Old World prior to the European discovery of the Americas. LimitationsSmall sample size limits discussion of the scope of the disease in antiquity. Suggestions for further researchThis case highlights the need for further macroscopic, radiographic, and biomolecular studies of pre-modern European skeletal samples to investigate the hypothesized pre-existence of these pathological conditions in Europe prior to 1492.