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一具17世纪意大利木乃伊身上的肯尼迪末期溃疡病例。

A case of Kennedy terminal ulcer in a 17th-century Italian mummy.

作者信息

Traversari Mirko, Ventura Luca, Iwaszczonek Aleksander Sebastian, Cilli Elisabetta, Longoni Marco, Pasquinelli Gianandrea, Troncone Giancarlo, Brunetti Arturo, Melandri Davide, Bellevicine Claudio

机构信息

Department of Medical and Surgical Sciences, University of Bologna.

Division of Pathology, San Salvatore Hospital, L'Aquila.

出版信息

Dermatol Reports. 2024 Apr 23;16(4):9956. doi: 10.4081/dr.2024.9956. eCollection 2024 Nov 21.

DOI:10.4081/dr.2024.9956
PMID:39669888
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11632453/
Abstract

Giacomo Torno was born in 1539 (or 1541) in Naples. At the age of 18 he joined the Clerics Regular Theatines in San Paolo Maggiore and was welcomed on 30 October 1558. He suffered a stroke on 4 December 1608 and died 45 days later. Contemporary sources report that he appeared to be tormented by the devil during his illness, suffering from constant spasms in his arm, which caused him great discomfort. During the analysis of his mummified body, a discontinuity of the skin surface at the level of the sacrum was discovered. All morphological features indicate a wound that developed during the subject's life. Based on historical sources, the fracture of the first coccygeal vertebra, the appearance of the lesion near death, and the shape of the lesion, suggest that this is the first recorded instance of the Kennedy terminal ulcer, identified through both direct and indirect sources.

摘要

贾科莫·托尔诺1539年(或1541年)出生于那不勒斯。18岁时,他加入了圣保罗大教堂的正规神职人员西多会,并于1558年10月30日受到欢迎。他于1608年12月4日中风,45天后去世。同时代的资料记载,他在患病期间似乎受到魔鬼的折磨,手臂不断痉挛,给他带来极大的不适。在对他的木乃伊尸体进行分析时,发现骶骨水平处的皮肤表面有一处间断。所有形态特征表明这是在该对象生前形成的伤口。根据历史资料,第一尾椎骨折、临近死亡时损伤的出现以及损伤的形状,表明这是通过直接和间接资料确定的肯尼迪终末期溃疡的首例记录病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0232/11632453/7fa5f68e4a44/dr-16-4-9956-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0232/11632453/c04a1fae861f/dr-16-4-9956-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0232/11632453/2c2acf34e029/dr-16-4-9956-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0232/11632453/7fa5f68e4a44/dr-16-4-9956-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0232/11632453/c04a1fae861f/dr-16-4-9956-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0232/11632453/2c2acf34e029/dr-16-4-9956-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0232/11632453/7fa5f68e4a44/dr-16-4-9956-g003.jpg

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本文引用的文献

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Kennedy terminal ulcer and other skin wounds at the end of life: An integrative review.肯尼迪终末期溃疡和生命终末期的其他皮肤伤口:综合述评。
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