02126nas a2200217   4500000000100000008004100001260001200042653002700054653002000081653002500101653002800126100001300154700001400167700001800181245010800199856008300307300000900390490000700399520148800406022001401894       2021                            d  c11/202110aCraniofacial pathology10aLesser antilles10aMycobacterium leprae10aRhinomaxillary syndrome1 aNelson G1 aDodrill T1 aFitzpatrick S00aA probable case of leprosy from colonial period St. Vincent and the Grenadines, Southeastern Caribbean.  uhttps://www.sciencedirect.com/science/article/pii/S1879981721000826?via%3Dihub  a7-130 v363 a<p><strong>OBJECTIVE: </strong>To document and differentially diagnose facial pathology found in an isolated skull from St. Vincent and the Grenadines, southeastern Caribbean. To directly date this individual using radiocarbon dating.</p>

<p><strong>MATERIALS: </strong>Isolated skull recovered from Petite Mustique Island.</p>

<p><strong>METHODS: </strong>Describe facial pathology occurring in this individual and compare with known diseases or disease processes that impact the craniofacial complex.</p>

<p><strong>RESULTS: </strong>Features of the rhinomaxillary syndrome are present, indicating a diagnosis of leprosy. Dating places the time of death to the late 18th or early 19th centuries.</p>

<p><strong>CONCLUSIONS: </strong>Analysis of the rhinomaxillary syndrome produces a diagnosis of early-stage leprosy in an individual that correlates with the apparent attempt to locate a leprosarium on Petite Mustique Island in the first decade of the 19th century.</p>

<p><strong>SIGNIFICANCE: </strong>Location and time corroborate historical records of at least one attempt to locate a leprosarium on Petite Mustique Island. Only directly dated individual with leprosy in the western hemisphere and possibly the earliest yet recorded.</p>

<p><strong>LIMITATIONS: </strong>This is an isolated find that is archaeologically unprovenienced.</p>

<p><strong>SUGGESTIONS FOR FURTHER RESEARCH: </strong>Professional archaeological survey of Petite Mustique.</p>
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