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[Forestier-Rotes Querol syndrome].

F Muñoz del Castillo¹, F Bravo Rodríguez, A Jurado Ramos

¹Hospital Universitario Reina Sofía, Cordoba. fmdelcastillo@cordoba.sytes.net

Anales Otorrinolaringologicos Ibero-Americanos

|December 3, 2003

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Diffuse idiopathic skeletal hyperostosis (DISH), or Forestier's disease, can cause dysphagia in older adults. This condition involves bone overgrowth on the spine, potentially leading to swallowing difficulties.

Area of Science:

Geriatric Medicine
Orthopedics
Radiology

Background:

Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier's disease, is a skeletal condition characterized by excessive bone formation.
It primarily affects the anterolateral margins of vertebral bodies.

Observation:

DISH is an infrequent but significant cause of dysphagia, particularly in elderly individuals.
Mechanical dysphagia necessitates considering DISH in the differential diagnosis.

Findings:

Radiographic imaging of the cervico-dorsal spine is crucial for diagnosis.
Large anterior osteophytes along the vertebral bodies are indicative of DISH.
These osteophytes can cause encroachment on the pharyngeal space, leading to swallowing impairment.

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Implications:

Recognizing DISH is vital for accurate diagnosis and management of mechanical dysphagia in the elderly.
Spinal imaging plays a key role in identifying this condition.
Further research may explore the direct correlation between osteophyte size and dysphagia severity.