Erosive Arthritis of the Foot with Characteristic Features of Tophaceous Gout in the Jomon Skeletal Population.

• Inoue Koji

  Department of Orthopaedic Surgery, Shiga University of Medical Science

• Hukuda Shinsuke

  Department of Orthopaedic Surgery, Shiga University of Medical Science

• Nakai Masashi

  Primate Research Institute, Kyoto University

• Katayama Kazumichi

  Primate Research Institute, Kyoto University

Bibliographic Information

Other Title

• Erosive Arthritis of the Foot with Char

Abstract

We describe the oldest evidence of gout from skeletal remains found in Asia. A middle-aged male skeleton excavated from the shell mound at Ohta in Onomichi-city, Hiroshima prefecture, Western Japan (the middle Jomon period: 4500-3500 BP), showed erosive arthritis in the forefoot. The characteristic feature of the erosions observed in the present skeleton is a periosteal bone apposition at the outer aspect of the involved cortex and a “punched-out” configuration as seen in radiographs. In addition to thesepaleopathological indings, a pauciarticular nature, involvement of the forefoot, male gender and a lack of perilesional osteopenia provided further support for the diagnosis of tophaceous gout. Because gout is associated with good nutrition, the presence of some well-nourished society in Jomon period should be considered.

Journal

• Anthropological Science

  Anthropological Science 106 (3), 221-228, 1998

  The Anthropological Society of Nippon

Keywords

• gout
• Jomon
• skeleton
• punched-out lesion

Details

• CRID: 1390282679287130368
• NII Article ID: 10002618796
• NII Book ID: AA11307827
• DOI: 10.1537/ase.106.221
• ISSN: 13488570
• ISSN: 09187960
• NDL BIB ID: 4594876
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I4594876
• Web Site: http://www.jstage.jst.go.jp/article/ase1993/106/3/106_3_221/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1999070715
• Text Lang: en
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed