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This condition is one of the few nutritional deficiencies that can result in diagnostic osseous lesions. Scurvy is associated with low dietary diversity and its identification in human skeletal remains can provide important contextual information on subsistence strategy, resource allocation, and human\u2010environmental interactions in past populations. A large and robust methodological body of work on the paleopathology of scurvy exists. However, the diagnostic criteria for this disease employed by bioarchaeologists have not always been uniform. Here we draw from previous research on the skeletal manifestations of scurvy in adult and juvenile human skeletal remains and propose a weighted diagnostic system for its identification that takes into account the pathophysiology of the disease, soft tissue anatomy, and clinical research. Using a sample of individuals from the prehistoric Atacama Desert in Northern Chile, we also provide a practical example of how diagnostic value might be assigned to skeletal lesions of the disease that have not been previously described in the literature.<\/jats:p>","DOI":"10.1002\/ajpa.23699","type":"journal-article","created":{"date-parts":[[2018,10,9]],"date-time":"2018-10-09T09:13:46Z","timestamp":1539076426000},"page":"876-895","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":105,"title":["Macroscopic features of scurvy in human skeletal remains: A literature synthesis and diagnostic guide"],"prefix":"10.1002","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0516-785X","authenticated-orcid":false,"given":"Anne Marie E.","family":"Snoddy","sequence":"first","affiliation":[{"name":"Department of Anatomy University of Otago  Dunedin Otago New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hallie R.","family":"Buckley","sequence":"additional","affiliation":[{"name":"Department of Anatomy University of Otago  Dunedin Otago New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail E.","family":"Elliott","sequence":"additional","affiliation":[{"name":"Department of Anatomy University of Otago  Dunedin Otago New Zealand"},{"name":"Department of Anatomy Ross University School of Medicine  Portsmouth Dominica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivien G.","family":"Standen","sequence":"additional","affiliation":[{"name":"Departmento de Antropolog\u00eda Universidad de Tarapac\u00e1  Arica Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernardo T.","family":"Arriaza","sequence":"additional","affiliation":[{"name":"Instituto de Alta Investigaci\u00f3n, Universidad de Tarapac\u00e1  Arica Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Si\u00e2n E.","family":"Halcrow","sequence":"additional","affiliation":[{"name":"Department of Anatomy University of Otago  Dunedin Otago New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,9]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-381978-9.10049-6"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijpp.2013.09.007"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.2307\/971599"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-74907-5_3"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/095952878306600112"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.1767.1029"},{"key":"e_1_2_13_8_1","article-title":"Infantile scurvy: Two case reports","author":"Besbes L. 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