Volume 4 (2021)
Special issue on mummification
Diffuse Idiopathic Skeletal Hyperostosis (DISH) in a Mummy from the Theban Necropolis
Stark, Robert J.; Bács, Tamás A.
Abstract:
The vertebral pathological condition known as Diffuse Idiopathic Skeletal Hyperostosis (DISH) has infrequently been reported convincingly in ancient Egyptian human remains. Here we describe and illustrate a near textbook example in a partial adult torso identified as Mummy 10 from the forecourt of TT 66–Saff Tomb 1, with a probable date in the Third Intermediate Period (TIP). It was found during excavations on the hill of Sheikh ͑Abd ͗el-Qurna, in the elite necropolis of the New Kingdom, in close proximity to the Temple of Hāt–shepsūt at Deir ͗el-Bahri, across the Nile from Luxor, Egypt. Utilising macroscopic observation, the individual in question exhibits a flowing «melted wax» type ossification along the right anterolateral side of the vertebral column extending from the second through the eleventh thoracic vertebrae (T2-T11). Gross observation suggests open intervertebral disc spaces with no sign of syndesmophytes. Such pathological changes appear consistent with the skeletal manifestations of DISH and rule out Ankylosing Spondylitis as a possible aetiology.
Citation:
Stark, R.J., Bács, T.A. 2021. «Diffuse Idiopathic Skeletal Hyperostosis (DISH) in a Mummy from the Theban Necropolis», JHIE 4: 115–122
DOI:
10.5281/zenodo.5775572
Language: en
Submitted on 2021-10-22; accepted on 2021-12-28
References
- Abiteboul, M. & Arlet, J.: «Retinonol–Related Hyperostosis», American Journal of Roentgenology 144, 1985, 435-436.
- Arriaza, B.T., Merbs, C.F. & Rothschild, B.M.: «Diffuse Idiopathic Skeletal Hyperostosis in Meroitic Nubians from Semna South, Sudan», American Journal of Physical Anthropology 92, 1993, 243-248.
- Bács, T.A.: «A Famous Theban Tomb Revisited: Preliminary Observations on the Tomb of Imiseba (TT 65)», Seventh International Congress of Egyptologists, Cambridge, 3-9 September 1995 (Eyre, C., ed.), Oxford (Oxbow Books) 1995, 89.
- Bács, T.A.: «First Preliminary Report on the Work of the Hungarian Mission in Thebes in Theban Tomb № 65 (Nebamun /Imiseba)», MDAIK 54, 1998, 49-64.
- Bács, T.A.: «A Name with Three (?) Orthographies: The Case of the “King’s Son, Overseer of Southern Foreign Lands, Penre”», Sudan and Nubia 13, 2009, 30-37.
- Bács, T.A.: «It is the Custom of “Accept the Eye of Horus, … ” Yet Again a Pyramid Texts Inspired Ritual Text in an Eighteenth Dynasty Theban Tomb», Études et Travaux 26, 2013, 65-74.
- Bács, T.A.: «Researches in the Funerary Complex of Hapuseneb, High Priest of Amun at Thebes (TT 67): An Interim Report», Current Research of the Hungarian Archaeological Mission in Thebes, Cairo (Publications of the Office of the Hungarian Cultural Counsellor in Cairo 2014-2015 1) 2015, 921.
- Bács, T.A.: «Bits and Pieces: Fragments From a “Lost Tomb”», Now behold my Spacious Kingdom: Studies Presented to Zoltán Imre Fábián on the Occasion of his 63rd Birthday (Németh, B. ed.), Budapest (L’Harmattan Kiadó) 2017, 25-38.
- Bács, T.A.: «A Theban Tomb–Temple: The Mortuary Chapel of the High Priest Hapuseneb (TT 67)», 11. Ägyptologische Tempeltagung: The Discourse Between Tomb and Temple; Prague, May 24-27, 2017 (Coppens, F. & Vymazalová, H., eds), Wiesbaden (Harrassowitz Verlag / Königtum, Staat und Gesellschaft früher Hochkulturen 3,6) 2020, 11-40.
- Chhem, R.K., Schmit, P. & Faure, C.: «Did Ramses II really have Ankylosing Spondylitis? A Reappraisal», Canadian Association of Radiologists Journal 55, 2004, 211-217.
- Cybulski, J.S., Stark, R.J. & Bács, T.A.: «Bioarchaeology, TT 65 Project, Hungarian Mission in Thebes», Egyptian Bioarchaeology: Humans, Animals, and the Environment, Leiden (Sidestone Press) 2015, 33-41.
- Cybulski, J.S. & Young, J.: «General and Specific Skeletal Indicators in an Eastern Ontario Identification», Canadian Society of Forensic Science Journal 352, 2002, 57-65.
- Dupras, T.L., Williams, L.J., Willems, H. & Peeters, C.: «Pathological Skeletal Remains from Ancient Egypt: The Earliest Case of Diabetes Mellitus?», Practical Diabetes 27, 2010, 358-363a.
- Feldtkeller, E., Lemmel, E.M. & Russell, A.S.: «Ankylosing Spondylitis in the Pharaohs of Ancient Egypt», Rheumatology International 23, 2003, 1-5.
- Gardiner, A.H. & Weigall, A.E.P.: A Topographical Catalogue of the Private Tombs of Thebes, London (Bernard Quaritch) 1913.
- Jaffe, H.L.: Metabolic, Degenerative, and Inflammatory Diseases of Bones and Joints, Philadelphia (Lea & Febiger) 1972.
- Julkunen, H., Heinonen, O.P. & Pyörälä, K.: «Hyperostosis of the Spine in an Adult Population», Annals of Rheumatic Disease 30, 1971, 605-612.
- Kampp, F.: Die thebanische Necropole: Zum Wandel des Grabgedankens von der XVII . bis zur XX . Dynastie (Seyfried, F., Hrsg.), Mainz (P. von Zabern) 1996.
- Mata, S., Fortin, P.R., Fitzcharles, M.A., Starr, M.R., Joseph, L., Watts, C.S., Gore, B., Rosenberg, E., Chhem, R.K. & Esdaile, J.M.: «A Controlled Study of Diffuse Idiopathic Skeletal Hyperostosis: Clinical Features and Functional Status», Medicine (Baltimore) 76, 1997, 104-117.
- Moll, J.M. & Wright, V.: «New York Clinical Criteria for Ankylosing Spondylitis: A Statistical Evaluation», Annals of Rheumatic Disease 32, 1973, 354-363.
- Nerlich, A., Zink, A, Hagedorn, H.G., Szeimies, U. & Weyss, C.: «Anthropological and Palaeopathological Analysis of the Human Remains from Three “Tombs of the Nobles” of the Necropolis of Thebes–West, Upper Egypt», Anthropologischer Anzeiger 58, 2000, 321-343.
- Ortner, D.J.: Identification of Pathological Conditions in Human Skeletal Remains, NY (Academic Press) 2003.
- Reeves, N. & Wilkinson, R.H.: The Complete Valley of the Kings, London (Thames & Hudson) 1996.
- Resnick, D. & Niwayama, G.: «Radiographic and Pathologic Features of Spinal Involvement in Diffuse Idiopathic Skeletal Hyperostosis (DISH)», Radiology 119, 1976, 559-568.
- Resnick, D., Shaul, S.R. & Robins, J.M.: «Diffuse Idiopathic Skeletal Hyperostosis (DISH): Forestier’s Disease with Extra–Spinal Manifestation», Radiology 115, 1975, 513-524.
- Rogers, J. & Waldron, T.: «DISH and the Monastic Way of Life», International Journal of Osteoarchaeology 11, 2001, 357-365.
- Rogers, J., Watt, I. & Dieppe, P.: «Palaeopathology of Spinal Osteophytosis, Vertebral Ankylosis, Ankylosing Spondylitis, and Vertebral Hyperostosis», Annals of Rheumatic Disease 44, 1985, 113-120.
- Ruffer, M.A. & Rietti, A.: «On Osseous Lesions in Ancient Egyptians», The Journal of Pathology and Bacteriology 16, 1912, 439-465.
- Saleem, S.N. & Hawass, Z.: «Ankylosing Spondylitis or Diffuse Idiopathic Skeletal Hyperostosis in Royal Egyptian Mummies of the 18th-20th Dynasties? Computed Tomography and Archaeology Studies», Arthritis and Rheumatology 66, 2014, 3311-3316.
- Sieper, J., Braun, J., Rudwaleit, M., Boonen, A. & Zink, A.: «Ankylosing Spondylitis: An Overview», Annals of Rheumatic Disease 61 (Suppl. 3), 2002, iii8-iii18.
- Stark, R. & Bács, T.: «Human Remains from the TT 65 Project, Luxor, Egypt, 2014», Bioarchaeology of the Near East 15, 2021, 85-97.
- Van der Merwe, A.E., Maat, G.J.R. & Watt, I.: «Diffuse Idiopathic Skeletal Hyperostosis: Diagnosis in a Palaeopathological Context», HOMO – Journal of Comparative Human Biology 63, 2012, 202-215.
- Waldron, T.: Palaeopathology, Cambridge (Cambridge University Press) 2009.
- Zorab, P.A.: «The Historical and Prehistorical Background of Ankylosing Spondylitis», Proceedings of the Royal Society of Medicine 54, 1961, 415-420.