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Diffuse idiopathic skeletal hyperostosis masquerading as asthma: case report.

Karim Mithani¹, Ying Meng¹, David Pinilla¹

¹Divisions of1Neurosurgery and.

Journal of Neurosurgery. Spine

|April 27, 2019

Summary

This summary is machine-generated.

A rare case shows diffuse idiopathic skeletal hyperostosis (DISH) mimicking asthma. Surgical removal of a cervical osteophyte resolved the patient's respiratory symptoms, highlighting a novel presentation of DISH.

Keywords:

anterior discectomy and fusion asthma cervical spine compression diffuse idiopathic skeletal hyperostosis

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Area of Science:

Medicine
Pulmonology
Rheumatology

Background:

Asthma is a chronic respiratory condition often treated with corticosteroids.
Prolonged corticosteroid use can lead to serious side effects, such as avascular necrosis.
Diffuse idiopathic skeletal hyperostosis (DISH) is a systemic condition characterized by spinal ossification.

Observation:

A 52-year-old man with refractory asthma presented with recurrent exacerbations.
Physical examination and imaging revealed diffuse idiopathic skeletal hyperostosis (DISH) with a C7-T1 osteophyte compressing the trachea.

Findings:

Surgical decompression by anterior discectomy and fusion at C6-T1 resolved the patient's asthma symptoms.
Postoperative pulmonary function tests confirmed normalized FEV1/FVC ratio and no airway reactivity.

Implications:

This case suggests DISH can present as apparent asthma due to airway compression.
Highlights the importance of considering non-respiratory causes for refractory asthma-like symptoms.