The probable evidence of leprosy in a male individual unearthed in medieval Armenia (Angeghakot)

The objective of this study is to present the paleopathological lesions relevant to the discussion of the differential diagnosis of leprosy. Macroscopic, histological and X-ray observation of the bones and scrutiny of lesions according to the paleopathological literature allowed the identification of a probable case of leprosy in an adult male from Angeghakot (Early Middle Age, skeleton 4). The skeleton of a male (50–55 years) revealed several bony changes indicative of leprosy with clear rhino-maxillary syndrome. There is a scarcity of information in the osteoarchaeological literature of leprosy in ancient Armenia. The significance of this case is that it adds to an understanding of the history of the disease in Armenia and to the data set necessary to understand the epidemiological dynamics in the South Caucasus during the Early Middle Ages

Female with Ankylosing Spondylitis from the 7th–6th century BCE Lori Berd burial (Armenia)

A female skeleton from the Lori Berd archaeological cemetery, located near the city of Stepanavan (Lori Province of Armenia) is described. Palaeopathological analysis revealed a variety pathology (ankylosis of the sacroiliac joints, ankylosis of the vertebrae, syndesmophytes, ankylosed of the costovertebral and costotransverse joint fusions, kyphosis, lordosis, fracture of the anterior inferior iliac spine and traumatic lesions). This paper reports a new case of ankylosing spondylitis in a skeleton and a differential diagnosis performed to determine the etiology of the condition. The vertebral bodies remodel and together with the associated syndesmophytes form a continuous, smooth bone surface that is sometimes referred to as “bamboo spine”. In this skeleton changes in the spine, ribs, the sacrum, acetabulum, head of the femur and greater trochanter, as well as the anterior inferior iliac spine are typical of ankylosing spondylitis in advanced stage. Addtionally, there were signs of a traumatic death with injuries sustained to the scapula and vertebra. Using osteological markers in combination with the reconstruction of the archaeological context, the burial pattern suggests that the pathology the female suffered was likely due to her physical deficiencies