A Rare Cause of Dysphagia: Diffuse Idiopathic Skeletal Hyperostosis

Year 2011, Volume: 18 Issue: 4, 275 - 277, 01.08.2011

Emrah Sapmaz Erol Keleş

Abstract

Diffuse idiopathic skeletal hyperostosis syndrome (DISH) is enchondral ossification of the paravertebral ligaments which is independent of trauma, infection and degenerative events and without a definitive known etiology. Although other bones can be involved, mostly vertebral involvement is seen. Diagnosis depends on radiological examination. In patients with cervical involvement, difficulty in swallowing, neck movements and inspriation can be seen. Here in, we will report a 63 year old man who examined for dysphagia and diagnosed as DISH. Key words: Diffuse; İdiopathic; Skeletal; Hyperostosis; Dysphagia.

Keywords

Diffuse; İdiopathic; Skeletal; Hyperostosis; Dysphagia.

Disfajinin Nadir Bir Sebebi; Diffüz İdiopatik İskelet Hiperostozisi

Abstract

Diffüz idiopatik iskelet hiperosteozisi etiyolojisi kesin olarak bilinmeyen travmatik, post enfeksiyöz ve dejeneratif olaylardan bağımsız olarak paravertebral ligamanların enkondral ossifikasyonu ile karakterize bir hastalıktır. Vücutta bir çok kemik tutulumu olabilir fakat en sık tutulum vertebralardadır. Tanısı primer olarak radyolojiktir. Servikal vertebra tutulumu olan hastalarda yutma güçlüğü boyun hareketlerinde kısıtlılık ses kısıklığı ve nefes almada zorluk şikayetleri olabilir. Biz bu makalede 63 yaşında disfaji nedeniyle değerlendirdiğimiz ve diffüz idiopatik iskelet hiperosteozis tanısı konulan bir vakayı sunduk. Anahtar kelimeler: Diffüz; İdiopatik; İskelet; Hiperosteozis; Disfaji.

Keywords

Diffüz; İdiopatik; İskelet; Hiperosteozis; Disfaji.

References

• Forestier J, Rotes-Querol J. Senile ankylosing hyperostosis of the spine. Ann Rheum Dis 1950; 9: 321-30.
• Resnick D, Shaul SR, Robins JM. Diffuse idiopathic skeletal hyperostosis (DISH): Forestier's disease with extraspinal manifestations. Radiology 1975; 115: 513-24.
• Kiss C, Szilagyi M, Paksy A, Poor G. Risk factors for diffuse idiopathic skeletal hyperostosis: a case-control study. Rheumatology (Oxford) 2002; 41: 27-30.
• Kissel P, Youmans JR. Posttraumatic anterior cervical osteophyte and dysphagia: surgical report and literature review. J Spinal Disord 1992; 5: 104-7.
• Lambert JR, Tepperman PS, Jimenez J, Newman A. Cervical spine disease and dysphagia. Four new cases and a review of the literature. Am J Gastroenterol 1981; 76: 35-40.
• Resnick D, Shapiro RF, Wiesner KB, Niwayama G, Utsinger PD, Shaul SR. Diffuse idiopathic skeletal hyperostosis (DISH) [ankylosing hyperostosis of Forestier and Rotes-Querol]. Semin Arthritis Rheum 1978; 7: 153-87.
• Smythe H, Littlejhon G. diffuse idiopathic skeletal hyperostosis. London: Mosby, 1997:101-6.
• Tsukamoto Y, Onitsuka H, Lee K. Radiologic aspects of diffuse idiopathic skeletal hyperostosis in the spine. AJR Am J Roentgenol 1977; 129: 913-8.
• Kim SK, Choi BR, Kim CGet al. The prevalence of diffuse idiopathic skeletal hyperostosis in Korea. J Rheumatol 2004; 31: 2032-5.
• Kmucha ST, Cravens RB, Jr. DISH syndrome and its role in dysphagia. Otolaryngol Head Neck Surg 1994; 110: 431-6.
• Altuntaş E, Mısır M, Atalar M, Uysal İ, Müderris S. Geriatrik yaş grubunda görülen diffüz idiyopatik iskelet hiperostozisi: Olgu sunumu. Cumhuriyet Med J 2010;32:362-7.
• Hirano H, Suzuki H, Sakakibara T, Higuchi Y, Inoue K, Suzuki Y. Dysphagia due to hypertrophic cervical osteophytes. Clin Orthop Relat Res 1982:168-72.