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Byzantine Empire: Justinian I (527-565) Æ Half Follis, Constantinople, RY 16 (Sear-165)
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Obv: D N IVSTINIANVS P P AVG. Helmeted and cuirassed bust facing, holding globus cruciger and decorated shield; cross right in field.
Rev: Large K between ANNO - XЧI, cross above; Λ below.
This particular coin is the so-called Plague Coin of Justinian. It depicts a deformed face of Justinian when he was recovering from the plague. See the following reference paper for more information:
Pottier, H., L'empereur Justinien survivant à la peste bubonique (542), Mélanges Cécile Morrisson, Paris, 2010, p. 685-691
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