Inflammatory periosteal reaction on ribs associated with lower respiratory tract disease: A method for recording prevalence from sites with differing preservation

Abstract

Objectives Inflammatory periosteal reaction (IPR) on the visceral surfaces of the ribs has been used in bioarchaeology as an indicator of lower respiratory tract disease. This article presents a detailed method for recording IPR on the ribs, even those in severely fragmented states, with the objectives of increasing the consistency of recording and producing true prevalence rates for skeletons so as to improve data comparability between future bioarchaeological studies of lower respiratory tract disease. Materials and methods The presence and prevalence of respiratory‐related IPR were recorded from three different Sudanese cemetery sites using a detailed method for identifying and recording IPR. Sites with variable preservation were chosen to test the applicability of the method. A flowchart to aid in identification of bony changes is presented. The method requires the recording of IPR on three separate sections of the rib (neck, angle, and shaft) and the allocation of ribs into rib cage regions of upper, upper‐middle, middle, lower‐middle, and lower. Results Results demonstrate differences in the distribution of IPR between sites and verify the method's applicability to archeological sites with various levels of skeletal preservation. Discussion While crude prevalence rates can indicate the number of individuals experiencing lower respiratory tract disease within a site, this method can provide information about the distribution of IPR within the rib cage. This should lead to new ways of distinguishing respiratory diseases within archeological populations. This method also allows for comparability between well‐preserved and lesser‐preserved sites by accommodating for rib fragmentation.

Urbanization and respiratory stress in the Northern Low Countries: A comparative study of chronic maxillary sinusitis in two early modern sites from the Netherlands (AD 1626–1866)

“…As dental disease (i.e., severe caries lesions, abscesses, and granulomas) can influence the presence of and even cause sinusitis (Patel & Ferguson, 2012), individuals with dental decay in the upper premolars and molars were excluded from analysis. Additionally, individuals who exhibited signs of other infectious conditions such as tuberculosis or leprosy, or other nonspecific lung disease diagnosed by lytic lesions in the vertebrae and/or new bone formation on the visceral surface of the ribs, were excluded, as their relationship with sinusitis is not yet clear (Boocock et al, 1995b;Davies-Barrett et al, 2019;Kiris et al, 2007;Slavin et al, 2005;Upadhyay et al, 2014).…”

More than the sum of their parts: reconstituting the paleopathological profile of the individual and commingled Neolithic populations of Western Switzerland

“…It was a surprise to see that individuals aged 10-19 years old presented periosteal reaction in 77.27% of cases (versus 63.81% of adults and around 40% for infants and children). Whilst periosteal reaction is non-specific in its aetiology and can be linked to infectious diseases, traumas, inflammation and many other causes (Gladykowska-Rzeczycka 1998;Weston 2008;Davies-Barrett et al 2019), such a prevalence in adolescents is surprising. Here we propose a link between this observation and the qualification of infectious disease presence within this population, which will be discussed later.…”

Могући Разлози За Настанак Периосталне Реакције На Ребрима Дечјих Индивидуа У Археолошком Контексту

“…Сама локација лезија, као и њихов морфолошки изглед, користе се у клиничкој пракси приликом дијагностике. Периостална реакција и новоформирана кост су чест клинички налаз у читавом спектру патолошких стања као што су трауме, инфекције, крварења, метаболичка обољења, тумори, венски проблеми, поремећаји у развоју, ендокрини поремећаји, али су присутне и код нормалног развоја кости (Assis and Keenleyside 2019;Davies-Barrett et al 2019;De Silva et al 2003;Edeiken et al 1966;Lewis 2018, 131;Morrone et al 2021;Ortner 2003, 88;Rana et al 2009;Shopfner 1966;Waldron 2009, 116;Weston 2008Weston , 2012.…”

“…Од осамдесетих година прошлог века расте интересовање за међусобну везу између стварања новоформиране кости на унутрашњој страни ребара и респираторних обољења, посебно плућне туберкулозе. Улогу новоформиране кости на унутрашњој површини ребара у дијагнози туберкулозе код древних популација истраживали су многи истраживачи, и на скелетним остацима из археолошког контекстa (Davies--Barrett 2018; Davies-Barrett et al 2019;Lambert 2002;Nicklisch et al 2012;Roberts and Buikstra 2003, итд. ), и на скелетним остацима из великих скелетних серија са познатим узроцима смрти (Kelley and El-Najjar 1980;Kelley and Micozzi 1984;Matos and Santos 2006;Roberts et al 1994;Roberts et al 1998;Santos and Roberts 2001;idem.…”