Growing up different in Neolithic China: A contextualised case study and differential diagnosis of a young adult with skeletal dysplasia

Abstract

This paper presents a case study of a young adult from the late Neolithic Yangshao cultural period site (∼3300–2900 years BC) of Guanjia (关家) located in Henan Province on the Central Plains of China, who has evidence for skeletal dysplasia characterised by proportional stunting of the long bones and a small axial skeleton, generalised osteopenia, and non-fusion of epiphyses. We provide a detailed differential diagnosis of skeletal dysplasia with paediatric onset and conclude that this is likely a form of hypopituitarism or hypothyroidism, an extremely rare finding within the archaeological context. This paper highlights the issues of distinguishing the forms of proportional dwarfism in palaeopathology because of the considerable variation in manifestation of these conditions. Finally, we assess whether there were any health and social implications for this person and community through the consideration of a bioarchaeology of care approach across the lifecourse, burial context, and information on social perceptions of ‘difference’ in the community. 标题：中国新石器时代不同的成长历程：一个青壮年骨发育异常案例的情景分析及鉴别诊断 本文以中国中原地区河南省新石器时代晚期仰韶文化关家遗址（公元前3300年～2900年）的一个青壮年为研究对象。该个体表现出骨骼发育异常，包括长骨成比例发育不良，较小的中轴骨，全身骨质稀少，及骨骺不融合。我们对该个体进行了儿科骨骼发育不良的详细鉴别诊断，并得出结论，这可能是垂体功能减退或甲状腺功能减退的一种形式。这在考古学背景下是极为罕见的发现。由于各矮化疾病的表现形式有较大的变异性，本文着重讨论了在古病理学中分辨不同形式的成比例矮化的问题。最后，我们结合对整个生命历程的生物考古护理研究、埋葬背景、“差异”个体的社会认知等信息，评估是否对该个体和社区有健康或社会影响。

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