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[Rheumatic diseases in colonial Mexico]

F J Aceves-Avila1, A Fraga

  • 1Departamento de Reumatología, Hospital de Especilalidades Dr. Bernando Sepúlveda, Centro Médico Nacional Siglo XXI., IMSS, México,D.F.

Gaceta Medica De Mexico
|July 1, 1997
PubMed
Summary

This study reveals early descriptions of rheumatic diseases in New Spain medical texts predating Sydenham. Evidence suggests gout and rheumatoid arthritis were differentiated centuries earlier than previously thought.

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Area of Science:

  • Medical History
  • Rheumatology
  • Paleopathology

Context:

  • Limited research exists on pre-Sydenham descriptions of rheumatic diseases.
  • Medical texts from New Spain (16th-18th centuries) offer a potential source of early clinical observations.

Purpose:

  • To investigate New Spain medical literature for evidence of rheumatoid arthritis and related conditions before Sydenham's established descriptions.
  • To analyze early classifications of articular diseases based on clinical presentation.

Summary:

  • A comprehensive survey of medical books from New Spain (16th-18th centuries) was conducted.
  • Articular diseases were categorized by clinical features: localized pain, polyarticular pain, inflammatory arthritis, and infectious arthropathies.
  • Findings indicate a distinction between gout and rheumatoid arthritis approximately 100 years prior to Sydenham, based on disease progression, and include early descriptions of reactive arthritis.

Impact:

  • This research pushes back the timeline for the recognized differentiation of gout and rheumatoid arthritis.
  • It provides valuable insights into the historical understanding and clinical differentiation of rheumatic diseases in the Americas.
  • The study highlights the significance of archival medical texts for understanding the evolution of rheumatology.

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