Clinical manifestations of diffuse idiopathic skeletal hyperostosis (DISH)

Rotès-Quérol, J

doi:10.1093/rheumatology/35.12.1193

Cited by 36 publications

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“…After degenerative conditions, DISH is the second most common cause of ventral cervical osteophytes. It is estimated that 3% of individuals over the age of 40 have DISH and of these 0.1-6% will develop dysphagia [2,6,8]. Diagnostic criteria for cervical involvement of DISH include calcification and ossification of the anterior longitudinal ligament involving a minimum of four contiguous vertebrae and minimal degenerative Fig.…”

Section: Discussionmentioning

confidence: 99%

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Surgical Management of Dysphagia and Airway Obstruction in Patients with Prominent Ventral Cervical Osteophytes

et al. 2010

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Large projecting ventral cervical osteophytes are associated with senile degenerative skeletal disease, post-traumatic osteophytogenesis, and diffuse idiopathic skeletal hyperostosis (DISH). The vast majority of patients with cervical osteophytes are asymptomatic. However, in a small subset this condition may lead to upper aerodigestive compromise manifesting as dysphagia and/or airway obstruction. Conservative medical therapy is usually sufficient, but patients with intractable disease may require surgical intervention, including tracheostomy, feeding tube placement, or osteophytectomy. A retrospective chart review was performed on all patients who presented to a tertiary referral center over a decade (1998-2008) with complaints of dysphagia and/or respiratory compromise and underwent osteophytectomy for treatment of recalcitrant symptoms. A total of nine patients met criteria. Six patients were diagnosed with DISH, two with trauma-associated osteophytogenesis, and one with senile degenerative vertebral disease. The mean age was 68 years and included seven males and two females. All patients had symptoms of dysphagia and two had simultaneous airway complaints. All patients underwent an anterolateral approach for osteophyte decompression, one of which required concurrent tracheostomy. Following surgery, 100% of patients had significant improvement in dysphagia and respiratory complaints. Eight of nine patients returned to an unrestricted diet and only one required postoperative abstinence from bulky foods; both patients with additional airway complaints were successfully decannulated after surgery. Degenerative conditions and DISH may lead to osteophyte-associated dysphagia and/or airway complaints. Surgical decompression through osteophytectomy is an effective alternative to tracheostomy and feeding tube in carefully selected patients and should be considered for surgically fit patients who fail conservative medical management.

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Section: Discussionmentioning

confidence: 99%

“…Prominent anterior cervical osteophytes are associated with vertebral degenerative disease and diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier disease [1][2][3][4]. Cervical osteophytosis is a common finding in the elderly and occurs in approximately a third of all individuals over 60 years of age [1,5].…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Dysphagia and Airway Obstruction in Patients with Prominent Ventral Cervical Osteophytes

et al. 2010

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“…Prevalence of DISH with the age of more than 40y/o is reported as 2.8% and only 0.1-6% of those will develop dysphagia. [5][6][7] The pathogenesis of dysphasia caused by OALL has been argued in many studies. 8,9 Mechanical obstruction, reaction in the surrounding tissues, or prevertebral edema are assumed as reason for dysphasia associated with DISH.…”

Section: Discussionmentioning

confidence: 99%

Dysphasia Caused By Cervical Diffuse Idiopathic Skeletal Hyperostosis: A Case Report

Ninomiya¹,

Aoyama²,

Suzuki³

et al. 2017

MOJCR

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Diffuse idiopathic skeletal hyperostosis (DISH) is a systemic enthesopathy with involvement of ossification of anterior longitudinal ligament (OALL). Although DISH is usually associated with benign nature, cervical large OALL should be considered as a consideration in differential diagnosis of dysphasia. A 73year-old-man presented with dysphasia and his radiographs showed massive OALL at C4/5. A filling defect was confirmed at the same level by video fluoroscopy. Followed by failure of conservative treatment, surgical treatment of symptomatic OALL due to DISH was performed. Satisfactory recovery of swallowing was obtained without radiographic recurrence of OALL one year after surgery.

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“…Entre un 25-50% de los casos presentan diabetes o un test de tolerancia oral a la glucosa patológico. También en series de diabéticos se da un 30% de casos de hiperostosis 3,4 .…”

Section: Discussionunclassified

“…El médico de familia la hallará radiologicamente en el 12% de los varones mayores de 70 años y en el 6% de los mayores de 40 3 . El diagnóstico diferencial se debe realizar con la osteoartrosis y la espondilitis anquilosante no sólo por rigor diagnóstico, sino por que tiene implicaciones terapéuticas.…”

Section: Proponen El Nombre De D Ifusse Idiopathic Skeleletal Hiperunclassified

Hiperostosis esquelética difusa idiopática, a propósito de un caso

Castilla

Gisbert

Suils

2001

Medifam

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INTRODUCCIÓNLa hiperostosis esquelética difusa idiopática (DISH) es una enfermedad ósea difusa que se manifiesta por una tendencia a la osificación de los ligamentos, tendones, periostio y cápsulas articulares, que afecta tanto a la columna vertebral como a estructuras extraespinales.En 1950 Forestier y Rotés-Querol publican una serie de 9 casos donde describen la hiperostosis an-quilosante vertebral senil y la distinguen como entidad nosológica de la espondiloartrosis y la espondilitis anquilosante 1 . En 1956 Forestier describe las localizaciones periféricas, perdiendo el calificativo de vertebral.El posterior hallazgo de casos entre los 40-50 años hizo suprimir el calificativo de senil.No obstante forma parte de las cuatro enfermedades del envejecimiento articular junto a la osteoporosis, artrosis y condrocalcinosis. 481 RESUMENLa hiperostosis esquelética difusa idiopática (DISH) es una patología cuya prevalencia aumenta con la edad, y que se caracteriza por una tendencia a la osificación de tendones, ligamentos, periostio y cápsulas articulares, tanto espinales como extraespinales. Su diagnóstico y manejo terapéutico debe ser realizado por el médico de familia.Las manifestaciones radiológicas son su tarjeta de visita, aunque no hemos de olvidar sus manifestaciones clínicas espinales o extraespinales. D e r i v a remos al segundo nivel asistencial en caso de duda diagnóstica o cuando sospechemos patología compresiva (a nivel medular o esofágico).El caso clínico que presentamos lo consideramos ejemplarizante por sus manifestaciones radiológicas y clínicas. Palabras clave: H i p e rostosis esquelética difusa idiopática. Radiología. Clínica. Atención Primaria. ABSTRACT Diffuse idiopathic skeletal hyperostosis is an old people pathology which is distinguished by a clear tendence to tendon, ligament, periosteum and art icular capsule ossification, either spinal or extraspinal. Its diagnostic and therapeutic management must be carried out by a family phisician. The radiological manifestations are its visiting card , though we cannont forget its clinical spinal or extraspinal manifestations.

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Clinical manifestations of diffuse idiopathic skeletal hyperostosis (DISH)

Cited by 36 publications

References 0 publications

Surgical Management of Dysphagia and Airway Obstruction in Patients with Prominent Ventral Cervical Osteophytes

Surgical Management of Dysphagia and Airway Obstruction in Patients with Prominent Ventral Cervical Osteophytes

Dysphasia Caused By Cervical Diffuse Idiopathic Skeletal Hyperostosis: A Case Report

Hiperostosis esquelética difusa idiopática, a propósito de un caso

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