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Diffüz İdiyopatik Skeletal Hiperostozis ve Geç Başlangıçlı Ankilozan Spondilit Birlikteliği Altmış Yaşında Bir Olgu

Year 2016, Volume: 17 Issue: 3, 163 - 167, 01.12.2016

Abstract

Diffüz idiyopatik skeletal hiperostozis (DİSH) ve ankilozan spondilit (AS) aksiyel iskelet ve periferik bölgelerde birbirlerinden farklı patolojiler sonucunda gelişen, ligaman ve tendonlarda ossifikasyon ile karakterize iki ayrı hastalıktır. DİSH ve AS birlikteliği nadir görülen bir durumdur ve İngilizce literatürde de bu duruma dikkat çeken olgu sayısı oldukça azdır. Bu olgu sunumunda sakroileit varlığı yönünden AS, dorsolomber omurga grafi bulguları yönünden ise DİSH için tipik görünüme sahip olan ve İnsan (human) lökosit antijeni-B27 negatif bir olgu sunuldu. Olgunun semptomlarının geç başlangıçlı olması, her iki hastalığın birbirleri ile etkileşimi ve bu durumun prognoza etkisi literatür ışığında tartışıldı

References

  • 1. Baraliakos X, Listing J, Buschmann J, von der Recke A, Braun J. A comparison of new bone formation in patients with ankylosing spondylitis and patients with diffuse idiopathic skeletal hyperostosis: a retrospective cohort study over six years. Arthritis Rheum 2012; 64: 1127-33.
  • 2. Aliabadi H, Biglari D, Gonzalez F, Nakaji P. Diffuse ıdiopathic skeletal hyperostosis versus ankylosing spondylitis: brief case review. BNI Quarterly 2006; 22: 10-4.
  • 3. Olivieri I, D’Angelo S, Cutro MS, Padula A, Peruz G, Montaruli M, et al. Diffuse idiopathic skeletal hyperostosis may give the typical postural abnormalities of advanced ankylosing spondylitis. Rheumatology (Oxford) 2007; 46: 1709-11.
  • 4. Olivieri I, D’Angelo S, Palazzi C, Padula A, Mader R, Khan MA. Diffuse idiopathic skeletal hyperostosis: differentiation from ankylosing spondylitis. Curr Rheumatol Rep 2009; 11: 321-8.
  • 5. Moreno AC, Gonzalez ML, Duffin M, López-Longo FJ, Carreño L, Forrester DM. Simultaneous occurrence of diffuse idiopathic skeletal hyperostosis and ankylosing spondylitis. Rev Rhum Engl Ed 1996; 63: 292-5.
  • 6. Arlet J, Mazières B. Hyperostotic disease. Rev Med Interne 1985; 6: 553-64.
  • 7. Julkunen H, Heinonen OP, Knekt P, Maatela J. The epidemiology of hyperostosis of the spine together with its symptoms and related mortality in a general population. Scand J Rheumatol 1975; 4: 23-7.
  • 8. Resnick D, Niwayama G. Diffuse idiopathic skeletal hyperostosis. In: Resnick D, editor. bone and joint imaging. Phiadelphia, W. B. Saunders Company; 1992. p. 440-52.
  • 9. Utsinger PD. Diffuse idiopathic skeletal hyperostosis. Clin Rheum Dis 1985; 11: 325-51.
  • 10. Taljanovic MS, Hunter TB, Wisneski RJ, Seeger JF, Friend CJ, Schwartz SA, et al. Imaging characteristics of diffuse idiopathic skeletal hyperostosis with an emphasis on acute spinal fractures: review. AJR Am J Roentgenol 2009; 193(Suppl 3): S10-9.
  • 11. Rillo OL, Scheines EJ, Moreno C, Barreira JC, Porrini AA, Maldonado Cocco JA. Coexistence of diffuse idiopathic skeletal hyperostosis and ankylosing spondylitis. Clin Rheumatol 1989; 8: 499-503.
  • 12. Jordana X, Galtés I, Couto AR, Gales L, Damas M, Lima M, et al. The coexistence of ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis-a postmortem diagnosis. Clin Rheumatol 2009; 28: 353-6.

Coexistence of Diffuse Idiopathic Skeletal Hyperostosis and Late-Onset Ankylosing Spondylitis in a Sixty-year-old Patient

Year 2016, Volume: 17 Issue: 3, 163 - 167, 01.12.2016

Abstract

Diffuse idiopathic skeletal hyperostosis (DISH) and ankylosing spondylitis (AS) are two diseases characterized by ossification of the ligaments and tendons in both the axial skeleton and peripheral sites with very different pathologies. Coexistence of DISH and AS is a rare condition and there are relatively few cases in the English-language literature. In this paper, we report a human leukocyte antigen-B27-negative patient who presented with the typical appearance of DISH on the dorsal radiograph and also had sacroileitis, suggesting AS. We discussed prognosis of the late-onset case and the interaction of two diseases in this coexistence.

References

  • 1. Baraliakos X, Listing J, Buschmann J, von der Recke A, Braun J. A comparison of new bone formation in patients with ankylosing spondylitis and patients with diffuse idiopathic skeletal hyperostosis: a retrospective cohort study over six years. Arthritis Rheum 2012; 64: 1127-33.
  • 2. Aliabadi H, Biglari D, Gonzalez F, Nakaji P. Diffuse ıdiopathic skeletal hyperostosis versus ankylosing spondylitis: brief case review. BNI Quarterly 2006; 22: 10-4.
  • 3. Olivieri I, D’Angelo S, Cutro MS, Padula A, Peruz G, Montaruli M, et al. Diffuse idiopathic skeletal hyperostosis may give the typical postural abnormalities of advanced ankylosing spondylitis. Rheumatology (Oxford) 2007; 46: 1709-11.
  • 4. Olivieri I, D’Angelo S, Palazzi C, Padula A, Mader R, Khan MA. Diffuse idiopathic skeletal hyperostosis: differentiation from ankylosing spondylitis. Curr Rheumatol Rep 2009; 11: 321-8.
  • 5. Moreno AC, Gonzalez ML, Duffin M, López-Longo FJ, Carreño L, Forrester DM. Simultaneous occurrence of diffuse idiopathic skeletal hyperostosis and ankylosing spondylitis. Rev Rhum Engl Ed 1996; 63: 292-5.
  • 6. Arlet J, Mazières B. Hyperostotic disease. Rev Med Interne 1985; 6: 553-64.
  • 7. Julkunen H, Heinonen OP, Knekt P, Maatela J. The epidemiology of hyperostosis of the spine together with its symptoms and related mortality in a general population. Scand J Rheumatol 1975; 4: 23-7.
  • 8. Resnick D, Niwayama G. Diffuse idiopathic skeletal hyperostosis. In: Resnick D, editor. bone and joint imaging. Phiadelphia, W. B. Saunders Company; 1992. p. 440-52.
  • 9. Utsinger PD. Diffuse idiopathic skeletal hyperostosis. Clin Rheum Dis 1985; 11: 325-51.
  • 10. Taljanovic MS, Hunter TB, Wisneski RJ, Seeger JF, Friend CJ, Schwartz SA, et al. Imaging characteristics of diffuse idiopathic skeletal hyperostosis with an emphasis on acute spinal fractures: review. AJR Am J Roentgenol 2009; 193(Suppl 3): S10-9.
  • 11. Rillo OL, Scheines EJ, Moreno C, Barreira JC, Porrini AA, Maldonado Cocco JA. Coexistence of diffuse idiopathic skeletal hyperostosis and ankylosing spondylitis. Clin Rheumatol 1989; 8: 499-503.
  • 12. Jordana X, Galtés I, Couto AR, Gales L, Damas M, Lima M, et al. The coexistence of ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis-a postmortem diagnosis. Clin Rheumatol 2009; 28: 353-6.
There are 12 citations in total.

Details

Other ID JA36KA96EC
Journal Section Case Report
Authors

Zeliha Ünlü This is me

Gülgün Yılmaz This is me

Aslıhan Ulusoy This is me

Publication Date December 1, 2016
Published in Issue Year 2016 Volume: 17 Issue: 3

Cite

EndNote Ünlü Z, Yılmaz G, Ulusoy A (December 1, 2016) Coexistence of Diffuse Idiopathic Skeletal Hyperostosis and Late-Onset Ankylosing Spondylitis in a Sixty-year-old Patient. Meandros Medical And Dental Journal 17 3 163–167.