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Updated: May 24, 2025

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A case of disability and care during Inca times
Catalina Morales1, Francisco Garrido1
1Museo Nacional de Historia Natural, Santiago, Chile.
International Journal of Paleopathology
|March 4, 2025
Summary
This study identified spondyloarthritis in ancient Chile, predating Spanish colonization. Evidence suggests robust caregiving practices supported individuals with chronic conditions during the Inca expansion.
Area of Science:
- Paleopathology
- Bioarchaeology
- Socio-cultural Anthropology
Background:
- Investigating pathological lesions to understand past cultural caregiving patterns.
- Examining a Late Horizon (1400-1550 CE) female skeleton from Copiapó Valley, Chile.
Observation:
- Skeleton aged 45+ years showed severe, widespread joint alterations.
- Visual analysis and paleopathological diagnosis were employed.
Findings:
- Polyarticular arthritic condition, likely spondyloarthritis, affected spine, sacrum, hands, knees, and feet.
- The individual showed no burial distinctions, suggesting integration within the community.
Implications:
- Provides evidence of pre-colonial spondyloarthritis in South America, causing mobility limitations.
- Demonstrates caregiving practices in Copiapó society, supporting individuals with chronic disease despite societal changes.
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