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

Year 2019, , 187 - 188, 25.02.2019

Tuba Erdem Sultanoğlu , Hasan Sultanoğlu

https://doi.org/10.28982/josam.467092

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

Abstract

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.

Keywords

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

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