A study of Skeletal Remains with Diffuse Idiopathic Skeletal Hyperostosis(DISH) from the Edo Period, Japan.

Takao Suzuki · Hisashi Fujita · Shuichiro Narasaki · Osamu Kondo · Kazutaka Adachi

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Paleopathology and ancient diseases History of Medicine Studies Forensic Anthropology and Bioarchaeology Studies

Abstract

General hyperostotic diathesis diagnosed as diffuse idiopathic skeletal hyperostosis (DISH) was found in an almost complete skeleton from the Edo period (1603-1867 A.D.) and is described here from a paleopathological view point. A remarkable ossification was found in the thoracolumbar spines, partly forming an ankylosis between Th-12 and L-1 by exuberant osteophytes with "dripping wax" and/or "candle flame" appearance. In the extraspinal skeleton, abnormal hyperostoses were found at muscle and ligament attachments in both axial and peripheral skeletons. These abnormal ossifications occur in various diseases including spondylosis deformans (SD), ankylosing spondylitis (AS), ankylosing spinal hyperostosis (ASH), and DISH, all of which are discussed in this article from the viewpoint of historical concept of diseases and differential diagnosis.

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References

1985Identification of pathological conditions in human skeletal remains 1985Palaeopathology of spinal osteophytosis, vertebral ankylosis, ankylosing spondylitis, and vertebral hyperostosis.

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2006Diffuse idiopathic skeletal hyperostosis in Late Jomon Hokkaido, Japan 2010Diffuse idiopathic skeletal hyperostosis cases found in Joseon Dynasty Human Sample Collection of Korea 2018Selective mortality in middle-aged American women with Diffuse Idiopathic Skeletal Hyperostosis (DISH)2018Ossification of the Ligamentum Flavum in a Nineteenth-Century Skeletal Population Sample from Ireland: Using Bioarchaeology to Reveal a Neglected Spine Pathology 2013Diffuse idiopathic skeletal hyperostosis (DISH) in pre-Columbian North America: Evidence from the eastern Tennessee River Valley 2004A possible case of spondyloarthropathy in a prehistoric Japanese skeleton

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