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Related Experiment Video

Updated: Jun 14, 2026

Erosion Identification in Metacarpophalangeal Joints in Rheumatoid Arthritis using High-Resolution Peripheral Quantitative Computed Tomography

Erosion Identification in Metacarpophalangeal Joints in Rheumatoid Arthritis using High-Resolution Peripheral Quantitative Computed Tomography

Published on: October 6, 2023

A geriatric patient with diffuse idiopathic skeletal hyperostosis.

Berrin Karadag¹, Huseyin Cat, Selma Aksoy

¹Sisli Etfal Research and Training Hospital, 2. Internal Medicine Clinic, Sisli, 34377, Istanbul, Turkey. bekaradag@yahoo.com

World Journal of Gastroenterology

|April 1, 2010

Summary

Diffuse idiopathic skeletal hyperostosis (Forestier's disease) can cause severe dysphagia in elderly patients. This case highlights the importance of considering skeletal abnormalities in the diagnosis of swallowing difficulties.

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Last Updated: Jun 14, 2026

Erosion Identification in Metacarpophalangeal Joints in Rheumatoid Arthritis using High-Resolution Peripheral Quantitative Computed Tomography

Erosion Identification in Metacarpophalangeal Joints in Rheumatoid Arthritis using High-Resolution Peripheral Quantitative Computed Tomography

Published on: October 6, 2023

Area of Science:

Geriatrics
Gastroenterology
Radiology

Background:

Chronic and degenerative diseases are common in senility.
Elderly patients often present with complex health issues requiring thorough diagnostic evaluation.

Observation:

A 75-year-old male nursing home resident presented with significant weight loss and dysphagia.
Gastrointestinal endoscopy revealed a hypopharyngeal and esophageal mass obstructing the lumen.
CT scan showed narrowing due to osseous hypertrophy in the hypopharynx and proximal esophagus.

Findings:

The patient's symptoms were attributed to Diffuse Idiopathic Skeletal Hyperostosis (Forestier's disease).
This condition involves ossification of spinal ligaments, leading to esophageal compression.
The diagnostic process involved endoscopy and CT imaging to identify the cause of dysphagia.

Implications:

Forestier's disease should be considered in the differential diagnosis of dysphagia and weight loss in the elderly.
Early and accurate diagnosis is crucial for managing nutritional deficits and improving patient outcomes.
This case underscores the need for a multidisciplinary approach in geriatric care, integrating imaging and endoscopic findings.