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Dysphagia due to diffuse idiopathic skeletal hyperostosis.

W J Shergy1, J A Nunley, D S Caldwell

  • 1Duke University Medical Center, Durham, North Carolina.

American Family Physician
|April 1, 1989
PubMed
Summary

Diffuse idiopathic skeletal hyperostosis (DISH) can affect any spinal segment, potentially causing dysphagia when the cervical spine is involved. Diabetes mellitus is a common comorbidity, and surgery offers a curative solution.

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Area of Science:

  • Orthopedics
  • Gastroenterology
  • Radiology

Background:

  • Diffuse idiopathic skeletal hyperostosis (DISH) is a spinal condition with a predilection for the lumbar region.
  • However, DISH can manifest in any spinal segment, including the cervical spine.

Observation:

  • Cervical spine involvement in DISH can lead to the development of dysphagia, a difficulty in swallowing.
  • The presence of diabetes mellitus is frequently observed in patients with DISH.
  • A history of prior cervical trauma warrants radiographic examination of the cervical spine.

Findings:

  • Diagnostic confirmation of DISH-related dysphagia is achieved through barium swallow and endoscopy.
  • Surgical intervention has been identified as a curative treatment for this condition.

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Implications:

  • Recognizing the potential for cervical spine involvement in DISH is crucial for accurate diagnosis and management.
  • Understanding the association with diabetes mellitus and trauma can aid in early detection.
  • The curative nature of surgery highlights the importance of timely surgical referral for affected individuals.