Woo Eun Jin, Lee Won-Joon, Hu Kyung-Seok, Hwang Jae Joon
Department of Oral Biology, Division in Anatomy & Developmental Biology, BK21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of Korea.
Institute of Forensic Science, Seoul National University College of Medicine, Seoul, Republic of Korea.
PLoS One. 2015 Oct 21;10(10):e0140901. doi: 10.1371/journal.pone.0140901. eCollection 2015.
Skeletal dysplasias related to genetic etiologies have rarely been reported for past populations. This report presents the skeletal characteristics of an individual with dwarfism-related skeletal dysplasia from South Korea. To assess abnormal deformities, morphological features, metric data, and computed tomography scans are analyzed. Differential diagnoses include achondroplasia or hypochondroplasia, chondrodysplasia, multiple epiphyseal dysplasia, thalassemia-related hemolytic anemia, and lysosomal storage disease. The diffused deformities in the upper-limb bones and several coarsened features of the craniofacial bones indicate the most likely diagnosis to have been a certain type of lysosomal storage disease. The skeletal remains of EP-III-4-No.107 from the Eunpyeong site, although incomplete and fragmented, provide important clues to the paleopathological diagnosis of skeletal dysplasias.
过去的人群中很少有关于遗传病因导致的骨骼发育异常的报道。本报告呈现了一名来自韩国的患有侏儒症相关骨骼发育异常个体的骨骼特征。为评估异常畸形、形态特征、测量数据以及计算机断层扫描,对其进行了分析。鉴别诊断包括软骨发育不全或低软骨发育不全、软骨发育异常、多发性骨骺发育异常、地中海贫血相关的溶血性贫血以及溶酶体贮积病。上肢骨骼的弥漫性畸形以及颅面骨的一些粗大特征表明最有可能的诊断是某种类型的溶酶体贮积病。来自恩平遗址的EP - III - 4 - No.107的骨骼遗骸虽然不完整且破碎,但为骨骼发育异常的古病理学诊断提供了重要线索。