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Once upon a time in Anatolia: the kings with bulging eyes

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Abstract

The Hittite Empire, formed by the Hittites who settled in central Anatolia at the beginning of the second millennium BC, has left behind rich archeological remains. In this historical review, statues of the Hittite priest-kings, King Idrimi, King Šuppiluliuma, and King Tarhunza, who ruled in these lands in ancient times, are analyzed. Graves’ disease (GD) is the most common cause of hyperthyroidism. Patients with GD are also at risk of developing Graves’ orbitopathy (GO). Upper eyelid retraction and exophthalmos (bulging eyes) are common in patients diagnosed with GO. Could the kings who lived in Anatolia at different times in the distant past have suffered from the same disease?

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References

  1. Ozturk G (2023) Cultural Continuity from the Karum period to the Hittite Empire Period in Light of Stamp Seals and impressions. Adalya 26:1–35

    Article  Google Scholar 

  2. Hatunoglu Z (2021) Assyrian Trade and structure of accounting in Anatolia. Acc Financial History Res J 20:91–114

    Google Scholar 

  3. Manning SW, Kocik C, Lorentzen B et al (2023) Severe multi-year drought coincident with Hittite collapse around 1198 – 1196 BC. Nature 614:719–724. https://doi.org/10.1038/s41586-022-05693-y

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Priest-King or Deity (1600 BCE). Cleveland Museum of Art. https://www.clevelandart.org/art/1971.45. Accessed 10 April 2024

  5. Genz H, Mielke DP (2011) Insights into Hittite History and Archaeology. Colloquia Antiqua 2 (Leuven, Paris, Walpole MA)

  6. http://www.anadolumedeniyetlerimuzesi.gov.tr/belge/1-55021/gec-hitit-kralligi.html

  7. Lane LC, Wood CL, Cheetham T (2023) Graves’ disease: moving forwards. Arch Dis Child 108(4):276–281. https://doi.org/10.1136/archdischild-2022-323905

    Article  PubMed  Google Scholar 

  8. Hutchings KR, Fritzhand SJ, Esmaeli B et al (2023) Graves’ eye disease: clinical and radiological diagnosis. Biomedicines 11(2):312. https://doi.org/10.3390/biomedicines11020312

    Article  PubMed  PubMed Central  Google Scholar 

  9. Lanzolla G, Maglionico MN, Comi S et al (2022) Sirolimus as a second-line treatment for Graves’ orbitopathy. J Endocrinol Invest 45(11):2171–2180. https://doi.org/10.1007/s40618-022-01862-y

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Tassinari J, Sisti A (2016) Exophthalmos (Graves’ orbitopathy) in an ancient sculpture. J Endocrinol Invest 39:1085–1086. https://doi.org/10.1007/s40618-016-0471-3

    Article  CAS  PubMed  Google Scholar 

  11. Mourits MP (2023) Diagnosis of Graves’ Orbitopathy. Surgery in and around the Orbit. 271–277. https://doi.org/10.1007/978-3-031-40697-3_15

  12. Bahn RS (2010) Graves’ ophthalmopathy. N Engl J Med 362(8):726–738. https://doi.org/10.1056/NEJMra0905750

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Volpé R, Sawin C (2000) Graves’ Disease - A Historical Perspective. In book: Graves’ Disease (pp.1–8). https://doi.org/10.1007/978-1-4615-4407-4_1

  14. Lindholm J, Laurberg P (2010) Hyperthyroidism, exophthalmos, and goiter: historical notes on the orbitopathy. Thyroid 20(3):291–300. https://doi.org/10.1089/thy.2009.0340

    Article  PubMed  Google Scholar 

  15. Goetze A (1947) The Priestly Dress of the Hittite King. J Cuneif Stud 1(2):176–185

    Article  Google Scholar 

  16. Kozloff AP (1972) A Hittite Priest-King figure. Bull Clevel Museum Art 59(2):56–62

    Google Scholar 

  17. Peker H (2009) (PhD Thesis). Establishing Hittite Hegemony on Syria: Super Powers and Minor States in Ancient Near East in the 2nd Millennium BC

  18. Bulbul C (2010) The Alalakh Kingdom during the Reign of Idrimi. History Stud 2(2):15–27. https://doi.org/10.9737/hist_98

    Article  Google Scholar 

  19. Ozgul O, Soylemez B (2021) Hurri Place names in Amuq Plain and surrounding in the light of the Alalah documents. MANAS J Social Stud 10(4):2493–2512. https://doi.org/10.33206/mjss.985167

    Article  Google Scholar 

  20. Weeden M (2013) After the hittites: the kingdoms of Karkamish and Palistin in Northern Syria. Bull Inst Classical Stud 56(2):15. https://doi.org/10.1111/j.2041-5370.2013.00055.x

    Article  Google Scholar 

  21. Steadman SR, MacMahon G (2018) The Archaeology of Anatolia volume II: recent discoveries (2015–2016). Cambridge Scholars Publishing

  22. Welton L, Harrison T, Batiuk S et al (2019) Shifting networks and community identity at tell Tayinat in the Iron I (ca. 12th to mid 10th cent. BCE). Am J Archaeol 123:291–333. https://doi.org/10.3764/aja.123.2.0291

    Article  Google Scholar 

  23. Lauinger J (2011) Some preliminary thoughts on the Tablet Collection in Building XVI from tell Tayinat. Archived 2020-08-19 at the Wayback machine. J (the Can Soc Mesopotamian Studies) 6:5–14

    Google Scholar 

  24. Payne AD (2019) Hieroglyphic Inscriptions: Archaeologies of Sacred Space. In: Keil, Wilfried E.; Kiyanrad, Sarah; Theis, Christoffer; Willer, Laura (eds.) Zeichentragende Artefakte im sakralen Raum: zwischen Präsenz und UnSichtbarkeit. Materiale Textkulturen: Vol. 20 (pp. 245–262). De Gruyter

  25. Kuzucuoğlu C (2012) The rise and fall of the Hittite state in Central Anatolia: how, when, where, did climate intervene? La Cappadoce méridionale De La Préhistoire à l’époque byzantine: 3e rencontres d’archéologie de IFEA, Istanbul 8–9 novembre 2012 [online]. Institut français d’études anatoliennes, Istanbul

    Google Scholar 

  26. Tiryaki SG (2013) Iconographic studies on Neo-hittite Art (1): figures holding a bunch of grapes and /or ears of wheat. Cedrus J MCRI https://doi.org/10.13113/CEDRUS/20131673.

    Article  Google Scholar 

  27. Akdag C (2019) King Description in Neo-Hittite Sculpture. (Master’s thesis). Kahramanmaras Sutcu Imam University Instıtute of Social Sciences Department of History

  28. https://www.hittitemonuments.com/arslantepe/arslantepe13-t.html

  29. Charlier P, Bourdin V (2022) Evidence of Cushing’s syndrome in a pre-columbian Mexican statue? Ann Endocrinol (Paris) 83(6):475–478. https://doi.org/10.1016/j.ando.2022.09.021

    Article  PubMed  Google Scholar 

  30. Demirel S, Cakilcioglu U (2017) Identification of medical plants in Hititte Cuneiform scripts. Belleten 81:291: 305–328. https://doi.org/10.37879/belleten.2017.305

    Article  Google Scholar 

  31. Çoban H (2019) The hittites Period (the Second Millennium B.C.) Plague Epidemic in Anatolia. J Curr Res Social Sci 9(4):233–244

    Google Scholar 

  32. Arda B (2009) Anatolia; the cradle of Modern Medicine. Ankara Üniversitesi Tıp Fakültesi Mecmuası 62(1):8–12

    Article  Google Scholar 

  33. Arda B, Aksu M (2004) What the hittites’ tablets tell us? A short historical view of deafness on the Basic of Genetics. Turk J Med Sci 34:357–358

    Google Scholar 

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Correspondence to Hulya Elbe.

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Elbe, H. Once upon a time in Anatolia: the kings with bulging eyes. Hormones (2024). https://doi.org/10.1007/s42000-024-00561-y

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