She died in 1476, aged just 23. For centuries, historians have assumed tuberculosis<\/a> was to blame \u2013 it was common, it was often fatal, and it fitted the pattern of a young woman fading quickly.<\/p>\n In 2019, my colleagues and I proposed a different explanation<\/a>. We examined the portraits attributed to Botticelli alongside written descriptions from the period, looking for whether the same woman\u2019s face changed in ways that might reflect an underlying illness.<\/p>\n What we found was a gradual shift in her features across multiple paintings \u2013 subtle changes to the jaw, the brow, the soft tissue of the face. These are the kind of changes seen in patients with a pituitary adenoma, a tumour of the small gland at the base of the brain that controls hormone production.<\/p>\n Specifically, we suspected a tumour secreting both growth hormone and prolactin. Excess of these hormones can alter facial contours over time and, in some cases, cause unexpected lactation \u2013 and one allegorical figure in Botticelli\u2019s work appears to depict exactly that symptom.<\/p>\n Our 2019 paper was cautious. We were not claiming proof \u2013 we were offering a plausible medical reading of the visual evidence, built by combining art history with clinical endocrinology.<\/p>\n Now, in a new paper<\/a> published in Endocrinology, Diabetes and Metabolism, my team and I have gone further. We believe Simonetta\u2019s death itself \u2013 sudden, rapid, and dramatic according to contemporary accounts \u2013 is consistent with a specific medical emergency: pituitary tumour apoplexy.<\/p>\n Apoplexy occurs when a pituitary tumour bleeds or rapidly swells. It typically causes a sudden and severe headache, loss of vision, confusion, and a swift decline as the body\u2019s hormonal regulation collapses.<\/p>\n We argue that this would explain something that tuberculosis<\/a> alone struggles to account for: how a previously healthy young woman went from apparent wellness to death within a short period. Chronic infections such as tuberculosis usually cause a slower, more visible decline.<\/p>\n Three strands of evidence<\/p>\n Our case rests on three strands of evidence. First, the physical changes visible across the portraits \u2013 Botticelli painted her several times, from the 1470s through to the posthumous Birth of Venus<\/a> (1482\u20131485) \u2013 suggest a tumour growing over months or years.<\/p>\n Second, the symptoms described in chronicles of her final illness (letters exchanged between Piero Vespucci and Lorenzo de\u2019 Medici, describing her collapse at a ball and the headaches, hallucinations, vomiting and fever that followed), which align closely with the clinical presentation of apoplexy.<\/p>\n Paolo Pozzilli is an Honorary Professor of Diabetes and Clinical Research at Queen Mary University of London.<\/p>\n This article is republished from The Conversation<\/a> under a Creative Commons license. Read the original article<\/a>.<\/p>\n Third, two documented events in the months before her death \u2013 her collapse during vigorous dancing at a ball, and an alleged violent encounter with Alfonso II of Aragon, Duke of Calabria \u2013 that could plausibly have triggered a bleed or sudden tumour expansion.<\/p>\n None of this amounts to certainty. There is no tissue sample from 1476, no scan, no way to examine Simonetta directly \u2013 only paintings, letters, and clinical reasoning applied five centuries after the fact.<\/p>\n What we can say is that a tumour capable of slowly reshaping a person\u2019s face is also capable, if it ruptures, of killing them quickly. Put together, the portraits and the historical record tell a more complete story than either can alone.<\/p>\n We hope this encourages both historians and medical professionals to look again at cases like Simonetta\u2019s. Medical knowledge can sometimes answer questions that pure historical record cannot. And, in turn, historical puzzles can push medicine to think differently about how disease unfolds in the body over time.<\/p>\n","protected":false},"excerpt":{"rendered":"Your support helps us to tell the story From reproductive rights to climate change to Big Tech, The…\n","protected":false},"author":2,"featured_media":543262,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[437,434,435,436,438,146,85,46],"class_list":["post-543261","post","type-post","status-publish","format-standard","has-post-thumbnail","category-arts-and-design","tag-arts","tag-arts-and-design","tag-artsanddesign","tag-artsdesign","tag-design","tag-entertainment","tag-il","tag-israel"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/543261","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/comments?post=543261"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/543261\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media\/543262"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media?parent=543261"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/categories?post=543261"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/tags?post=543261"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}![\"The](\"https:\/\/static.the-independent.com\/2026\/07\/14\/8\/17\/Sandro-Botticelli.avif\")
The Birth of Venus, c. 1485, Uffizi (Public domain, via Wikimedia Commons)<\/p>\n