Mansilla J, Pijoan C M
Dirección de Antropología Física, Instituto Nacional de Antropología e Historia, México, D.F.
Am J Phys Anthropol. 1995 Jun;97(2):187-95. doi: 10.1002/ajpa.1330970208.
Congenital syphilis has been diagnosed very seldom in ancient populations. The case that we examined comes from San Jeronimo's Church (17th and 18th centuries AD; Mexico City). Coffin 43 contained an incomplete skeleton of an approximately 2-year-old infant. The pathological lesions of this skeleton include bilateral osteochondritis, diaphyseal osteomyelitis, and osteitis and/or periostitis on the long bones. The radiographic appearance depicts symmetrical osteomyelitic foci, particularly at the proximal extremity of both tibiae (Wimberger's sign). The skull exhibits hydrocephaly and periosteal changes on the vault, and the unerupted upper incisors evince dental hypoplasia and other pathological alterations reminiscent of Hutchinson's incisors. All these features strongly suggest a case of early congenital syphilis.
先天性梅毒在古代人群中很少被诊断出来。我们研究的这个病例来自圣赫罗尼莫教堂（公元17和18世纪；墨西哥城）。43号棺材里有一具大约2岁婴儿的不完整骨骼。这具骨骼的病理病变包括双侧骨软骨炎、骨干骨髓炎以及长骨的骨炎和/或骨膜炎。影像学表现显示出对称的骨髓炎病灶，特别是在双侧胫骨的近端（温伯格征）。颅骨表现为脑积水和颅顶骨膜改变，未萌出的上门牙显示出牙釉质发育不全和其他类似哈钦森牙的病理改变。所有这些特征都强烈提示这是一例早期先天性梅毒病例。
