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Diffuse idiopathic skeletal hyperostosis.

B M Rothschild1

  • 1Menorah Medical Center, Kansas City, MO.

Comprehensive Therapy
|February 1, 1988
PubMed
Summary
This summary is machine-generated.

Diffuse idiopathic skeletal hyperostosis (DISH) may be a protective variant, not a disease. Spinal calcification in DISH warrants hypertension screening and treatment.

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Area of Science:

  • Paleontology
  • Rheumatology
  • Clinical Medicine

Background:

  • Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by spinal ligamentous calcification.
  • Its classification as a disease versus a normal variant is debated.

Observation:

  • Spinal ligamentous calcification is common in the paleontologic record.
  • Contemporary DISH shows a protective mechanical effect but paradoxically increases risks for hypertension and cerebrovascular accidents.

Findings:

  • DISH is likely a protective phenomenon or normal variant, not a musculoskeletal disease.
  • Spinal ligamentous calcification is not a satisfactory explanation for back pain.

Implications:

  • Patients with spinal ligamentous calcification require assessment for hypertension.

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  • Aggressive management of hypertension is crucial in individuals with spinal ligamentous calcification.