A possible case of acquired syphilis at the former Royal Hospital of All-Saints (RHAS) in Lisbon, Portugal (18th century)

Detalhes bibliográficos
Autor(a) principal: Assis, Sandra
Data de Publicação: 2015
Outros Autores: Casimiro, Sílvia, Alves Cardoso, Francisca
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.1967/s002449910026
Resumo: SFRH/BD/36739/2007 SFRH/BPD/43330/2008 UID/ANT/04038/2013
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spelling A possible case of acquired syphilis at the former Royal Hospital of All-Saints (RHAS) in Lisbon, Portugal (18th century)a comparative methodological approach to differential diagnosisPaleopathologySyphilisArchaeologyImagiologic and histologic techniques47 Royal Hospital of All SaintsMedicine(all)Ecology, Evolution, Behavior and SystematicsAnthropologyAnimal Science and ZoologySFRH/BD/36739/2007 SFRH/BPD/43330/2008 UID/ANT/04038/2013Between the years of 1999 and 2001, during the excavation of the Praça da Figueira (Lisbon, Portugal), several human osteological remains from various chronological periods were discovered. Amongst them several skeletons are known to be related with the Hospital Real de Todos-os-Santos (Royal Hospital of All Saints - RHAS), which had an important role. The hospital history begun in 1492 and ended in 1755 largely as a consequence of the Lisbon earthquake. Of the skeletons exhumed, one in particular, the adult female Sk. 1310 showed significant pathological changes. The bone lesions characterized by new bone deposition, with a symmetric and disseminate pattern, were found in the upper limbs, distal end of femurs and in tibia and fibula diaphyses. A bowing deformity with "sabre shape" morphology was also observed in the tibiae. The most striking lesions, characterized by healed nodular cavitations and similar to those of caries sicca, were recorded on the frontal bone. Considering the value of a complete description, as well as the application of multiple lines of enquiry for a reliable differential diagnosis, three distinct techniques were applied and compared: visual examination, imagiology and histology. The results showed that the macroscopic analysis coupled with conventional X-ray analysis were fundamental to obtain a possible diagnosis of acquired syphilis. In contrast, the CT-scan and the histological analyses were less informative. The application of a new scoring system also supports a diagnosis of acquired syphilis. This case-study constitutes the first evidence of syphilis associated with the RHAS, supporting historical data on the pivotal role that this hospital had on the treatment of several conditions, namely, syphilis.Centro em Rede de Investigação em Antropologia (CRIA - NOVA FCSH)RUNAssis, SandraCasimiro, SílviaAlves Cardoso, Francisca2018-01-19T23:05:04Z20152015-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article23application/pdfhttps://doi.org/10.1967/s002449910026eng0003-5548PURE: 1721772http://www.scopus.com/inward/record.url?scp=84988891058&partnerID=8YFLogxKhttps://doi.org/10.1967/s002449910026info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:15:24Zoai:run.unl.pt:10362/28575Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:29:00.508155Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv A possible case of acquired syphilis at the former Royal Hospital of All-Saints (RHAS) in Lisbon, Portugal (18th century)
a comparative methodological approach to differential diagnosis
title A possible case of acquired syphilis at the former Royal Hospital of All-Saints (RHAS) in Lisbon, Portugal (18th century)
spellingShingle A possible case of acquired syphilis at the former Royal Hospital of All-Saints (RHAS) in Lisbon, Portugal (18th century)
Assis, Sandra
Paleopathology
Syphilis
Archaeology
Imagiologic and histologic techniques
47 Royal Hospital of All Saints
Medicine(all)
Ecology, Evolution, Behavior and Systematics
Anthropology
Animal Science and Zoology
title_short A possible case of acquired syphilis at the former Royal Hospital of All-Saints (RHAS) in Lisbon, Portugal (18th century)
title_full A possible case of acquired syphilis at the former Royal Hospital of All-Saints (RHAS) in Lisbon, Portugal (18th century)
title_fullStr A possible case of acquired syphilis at the former Royal Hospital of All-Saints (RHAS) in Lisbon, Portugal (18th century)
title_full_unstemmed A possible case of acquired syphilis at the former Royal Hospital of All-Saints (RHAS) in Lisbon, Portugal (18th century)
title_sort A possible case of acquired syphilis at the former Royal Hospital of All-Saints (RHAS) in Lisbon, Portugal (18th century)
author Assis, Sandra
author_facet Assis, Sandra
Casimiro, Sílvia
Alves Cardoso, Francisca
author_role author
author2 Casimiro, Sílvia
Alves Cardoso, Francisca
author2_role author
author
dc.contributor.none.fl_str_mv Centro em Rede de Investigação em Antropologia (CRIA - NOVA FCSH)
RUN
dc.contributor.author.fl_str_mv Assis, Sandra
Casimiro, Sílvia
Alves Cardoso, Francisca
dc.subject.por.fl_str_mv Paleopathology
Syphilis
Archaeology
Imagiologic and histologic techniques
47 Royal Hospital of All Saints
Medicine(all)
Ecology, Evolution, Behavior and Systematics
Anthropology
Animal Science and Zoology
topic Paleopathology
Syphilis
Archaeology
Imagiologic and histologic techniques
47 Royal Hospital of All Saints
Medicine(all)
Ecology, Evolution, Behavior and Systematics
Anthropology
Animal Science and Zoology
description SFRH/BD/36739/2007 SFRH/BPD/43330/2008 UID/ANT/04038/2013
publishDate 2015
dc.date.none.fl_str_mv 2015
2015-01-01T00:00:00Z
2018-01-19T23:05:04Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://doi.org/10.1967/s002449910026
url https://doi.org/10.1967/s002449910026
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0003-5548
PURE: 1721772
http://www.scopus.com/inward/record.url?scp=84988891058&partnerID=8YFLogxK
https://doi.org/10.1967/s002449910026
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instacron:RCAAP
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