The Dutch Distemper: Testing a New Diagnostic Method for Scurvy in a 19th Century Dutch Rural Population

A sample of 101 individuals from the osteological collection of Middenbeemster, a 19th century Dutch rural population, was analysed for scorbutic lesions denoting the prevalence of scurvy within the population. The method used for this analysis was recently published by Snoddy et al. (2018), and collected features described throughout the paleopathological and clinical literature, as well as adding two new lesions to create a system with a weighted diagnosis. The sample was analysed for the presence or absence of these features and the individuals were given a diagnosis ranging from a probable, to possible, to an unlikely diagnosis of scurvy. The prevalence was found to be 74,5% in the total sample, with 80,95% within the non- adults, and 73,75% in the adults respectively. The individuals diagnosed with probable scurvy were found to also exhibit lesions associated with rickets, osteomalacia, and iron deficiency anaemia. It was also found that younger individuals under 6 years of age...Show moreA sample of 101 individuals from the osteological collection of Middenbeemster, a 19th century Dutch rural population, was analysed for scorbutic lesions denoting the prevalence of scurvy within the population. The method used for this analysis was recently published by Snoddy et al. (2018), and collected features described throughout the paleopathological and clinical literature, as well as adding two new lesions to create a system with a weighted diagnosis. The sample was analysed for the presence or absence of these features and the individuals were given a diagnosis ranging from a probable, to possible, to an unlikely diagnosis of scurvy. The prevalence was found to be 74,5% in the total sample, with 80,95% within the non- adults, and 73,75% in the adults respectively. The individuals diagnosed with probable scurvy were found to also exhibit lesions associated with rickets, osteomalacia, and iron deficiency anaemia. It was also found that younger individuals under 6 years of age and adults over 50 were the most likely demographic to suffer from scurvy. Further research should further investigate Snoddy et al.’s (2018) proposed lesions, examine comorbidity with associated conditions, and investigate a genetic predisposition towards the development of the disease.Show less

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The Dutch Distemper: Testing a New Diagnostic Method for Scurvy in a 19th Century Dutch Rural Population