Neck pain and dysphagia secondary to diffuse idiopathic skeletal hyperostosis of the cervical spine: A case report

Abstract

Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier disease is characterized by calcification and ossification of the soft tissues, mainly ligaments and entheses. DISH is a systemic non inflammatory disease of unknown cause and is considered an underdiagnosed and mostly asymptomatic nonprimary osteoarthritis. This condition is recognized radiologically only. Rarely, large projecting anterior osteophytes result in esophageal impingement and distortion leading to dysphagia. We report the case of dysphagia and neck pain due to DISH of the cervical spine in a 60 year old female. The patient came to the emergency department with neck pain and dysphagia after falling. 

Keywords

• Neck pain,Dysphagia,Osteophyt,Diffuse idiopathic skeletal hyperostosis

Diffüz idiyopatik iskelet hiperostozuna ikincil gelişen boyun ağrısı ve yutma güçlüğü: Olgu sunumu

Öz

Forestier hastalığı olarak da adlandırılan diffüz idiyopatik iskelet hiperostozu (DISH), yumuşak dokuların ve ligamentlerin kalsifikasyonu ve ossifikasyonu ile karekterize klinik tablodur. DISH; etyolojisi tam olarak bilinmeyen, inflamatuvar olmayan, çoğunlukla asemptomatik olup az tanı alan primer osteoartrit olarak düşünülür. Tanı radyolojik incelemelerle konur. Nadiren osteofitler özafagusa bası yaparak disfajiye neden olur. Biz olgu sunumumuzda düşme sonrası yutma güçlüğü ve boyun ağrısı yakınmalarıyla acil servise başvuran, DISH tanısı konan 60 yaşında kadın hastayı sunmayı amaçladık.

Anahtar Kelimeler

• Boyun ağrısı,Yutma güçlüğü,Osteofit,Diffüz idiyopatik iskelet hiperostozu

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