HYPERTROFICKÁ PĽÚCNA OSTEOARTROPATIA (HPO) AKO SEKUNDÁRNY PREJAV PRAVDEPODOBNEJ TUBERKULÓZY NA KOSTIACH MLADÉHO MUŽA Z NITRY-SELENCA II

The present study describes human skeletal remains of an individual from the medieval population of Selenec (Nitra district). Macroscopic analysis revealed extensive symmetrical inflammatory changes corresponding with the manifestations of hypertrophic pulmonary osteoarthropathy (HPO). The case from Slovakia therefore represents a welcome addition to the still very limited list of cases of hypertrophic osteoarthropathy observed in human archaeological remains. Taking into account similar cases reported in the world, diagnostic criteria, observed pathological changes, as well as strong association of HPO with tuberculosis (especially with its severe untreated form) and the young age of the individual from Selenec, it is likely that pulmonary tuberculosis was the primary cause of HPO recorded in the man.