Rothschild Bruce M, Rothschild Christine, Naples Virginia, Billard Michel, Panero Barbara
Arthritis Center of Northeast Ohio, 5500 Market Street, Youngstown, OH 44512, USA.
Acta Trop. 2006 Oct;99(2-3):160-4. doi: 10.1016/j.actatropica.2006.07.012. Epub 2006 Oct 17.
Bejel clearly has a long history in the Middle East and the Sudan, but was it transmitted to Europe? As the major manifestation of bejel is presence of periosteal reaction in 20-40% of afflicted populations, absence of significant population frequency of periosteal reaction in Europe would exclude that diagnosis. Examination of skeletal populations from continental Europe revealed no significant periosteal reaction at the time of and immediately subsequent to the Crusades. Thus, there is no evidence for bejel in Europe, in spite of clear contact (the mechanism of bejel transmission in children) between warring groups, at least during the Crusades. This supports the hypothesis that bejel is a childhood-acquired disease and apparently cannot be contracted in adulthood.
品他病在中东和苏丹显然有着悠久的历史，但它是传播到欧洲的吗？由于品他病的主要表现是20%至40%的患病群体存在骨膜反应，欧洲没有明显的骨膜反应人群频率可排除该诊断。对来自欧洲大陆的骨骼样本进行检查发现，在十字军东征时期及之后不久，没有明显的骨膜反应。因此，尽管交战群体之间有明确的接触（儿童时期品他病的传播机制），至少在十字军东征期间是这样，但欧洲没有品他病的证据。这支持了品他病是一种儿童期获得性疾病的假设，而且显然在成年期不会感染。
