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Related Experiment Videos

Diffuse idiopathic skeletal hyperostosis with dysphagia (a review).

E Eviatar, M Harell

    The Journal of Laryngology and Otology
    |June 1, 1987
    PubMed
    Summary

    Diffuse idiopathic skeletal hyperostosis (DISH) causing dysphagia is rare. Conservative non-steroidal anti-inflammatory therapy can be effective, avoiding risky surgery in elderly patients.

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    Area of Science:

    • Rheumatology
    • Gastroenterology
    • Otolaryngology

    Background:

    • Dysphagia is a rare symptom of cervical osteophytes.
    • Diffuse idiopathic skeletal hyperostosis (DISH) with cervical involvement is an even rarer cause of dysphagia.
    • Otolaryngologists are often unfamiliar with this condition.

    Observation:

    • Diagnosis of cervical DISH causing dysphagia can be achieved through plain cervical X-rays, barium esophagography, and CT scans.
    • Extra-axial X-ray films can aid diagnosis when uncertainty persists.
    • A case of a 79-year-old patient with DISH (Forestier's disease) presenting with dysphagia is reported.

    Findings:

    • Non-steroidal anti-inflammatory drug (NSAID) therapy was successfully implemented in the reported patient.
    • Surgical intervention for elderly DISH patients carries significant morbidity and mortality risks.
    • Conservative management may be a viable initial approach.

    Implications:

    • Highlights the importance of considering DISH in the differential diagnosis of dysphagia, particularly in older adults.
    • Suggests a potential role for conservative management, such as NSAIDs, as a first-line treatment.
    • Emphasizes the need for increased awareness among otolaryngologists regarding this rare cause of dysphagia.

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