Evidence map›Paper›PMID 35737690›Full record

ArticlePloS one2022

The two extremes of Hansen's disease-Different manifestations of leprosy and their biological consequences in an Avar Age (late 7th century CE) osteoarchaeological series of the Duna-Tisza Interfluve (Kiskundorozsma-Daruhalom-dűlő II, Hungary).

Olga Spekker, Balázs Tihanyi, Luca Kis, Orsolya Anna Váradi, Helen D Donoghue, David E Minnikin, Csaba Szalontai, Tivadar Vida, György Pálfi, Antónia Marcsik and 1 more

Abstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Olga SpekkerDepartment of Biological Anthropology, University of Szeged, Szeged, Hungary.ORCID 0000-0002-0350-1906
Balázs TihanyiDepartment of Biological Anthropology, University of Szeged, Szeged, Hungary.
Luca KisDepartment of Biological Anthropology, University of Szeged, Szeged, Hungary.
Orsolya Anna VáradiDepartment of Biological Anthropology, University of Szeged, Szeged, Hungary.
Helen D DonoghueCentre for Clinical Microbiology, University College London, London, United Kingdom.
David E MinnikinInstitute of Microbiology and Infection, School of Biosciences, University of Birmingham, Birmingham, United Kingdom.
Csaba SzalontaiArchaeological Heritage Protection Directorate, Hungarian National Museum, Budapest, Hungary.
Tivadar VidaInstitute of Archaeological Sciences, Eötvös Loránd University, Budapest, Hungary.
György PálfiDepartment of Biological Anthropology, University of Szeged, Szeged, Hungary.
Antónia MarcsikDepartment of Biological Anthropology, University of Szeged, Szeged, Hungary.
Erika MolnárDepartment of Biological Anthropology, University of Szeged, Szeged, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To give an insight into the different manifestations of leprosy and their biological consequences in the Avar Age of the Hungarian Duna-Tisza Interfluve, two cases from the 7th-century-CE osteoarchaeological series of Kiskundorozsma-Daruhalom-dűlő II (Hungary; n = 94) were investigated. Based on the macromorphology of the bony changes indicative of Hansen's disease, KD271 (a middle-aged male) and KD520 (a middle-aged female) represent the two extremes of leprosy. KD271 appears to have an advanced-stage, long-standing near-lepromatous or lepromatous form of the disease, affecting not only the rhinomaxillary region but also both upper and lower limbs. This has led to severe deformation and disfigurement of the involved anatomical areas of the skeleton, resulting in his inability to perform the basic activities of daily living, such as eating, drinking, grasping, standing or walking. The skeleton of KD520 shows no rhinomaxillary lesions and indicates the other extreme of leprosy, a near-tuberculoid or tuberculoid form of the disease. As in KD271, Hansen's disease has resulted in disfigurement and disability of both of the lower limbs of KD520; and thus, the middle-aged female would have experienced difficulties in standing, walking, and conducting occupational physical activities. KD271 and KD520 are amongst the very few published cases with leprosy from the Avar Age of the Hungarian Duna-Tisza Interfluve, and the only examples with detailed macromorphological description and differential diagnoses of the observed leprous bony changes. The cases of these two severely disabled individuals, especially of KD271 -who would have required regular and substantial care from others to survive-imply that in the Avar Age community of Kiskundorozsma-Daruhalom-dűlő II there was a willingness to care for people in need.

Indexed as

Activities of Daily LivingLeprosyBenzodiazepinesDiagnosis, DifferentialFemaleHumansHungaryMaleMiddle AgedSulfurBenzodiazepinespinazepamSulfur

Identifiers

PMID35737690
PMCPMC9223331

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.