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Diffuse Idiopathic Skeletal Hyperostosis Causing Progressive Dysphagia: A Case Report and Review.
Farzin Davoodi1, Narges Bazgir2, Reza Naseri3
1Department of Otorhinolaryngology, Loghman Hakim Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Case Reports in Radiology
|October 4, 2023
Summary
Diffuse idiopathic skeletal hyperostosis (DISH) is a rare condition. This case report highlights DISH presenting as progressive dysphagia, emphasizing its varied clinical manifestations.
Area of Science:
- Orthopedics
- Rheumatology
- Radiology
Background:
- Diffuse idiopathic skeletal hyperostosis (DISH) is a noninflammatory condition affecting spinal ligaments and entheses.
- It is typically asymptomatic or presents with mild symptoms like neck pain and stiffness.
- Dysphagia and breathing difficulties are less common but significant manifestations.
Observation:
- A middle-aged male presented with progressive dysphagia to solid foods.
- Cervical X-ray revealed significant ossification of the anterior longitudinal ligament.
- The patient was diagnosed with DISH.
Findings:
- The case demonstrates DISH causing severe dysphagia due to anterior longitudinal ligament ossification.
- This presentation underscores the potential for DISH to impact the upper aerodigestive tract.
- Conservative management was chosen due to the patient's co-existing coronary artery disease.
Implications:
- Highlights the importance of considering DISH in patients with unexplained dysphagia.
- Suggests the need for advanced imaging to evaluate spinal ligament ossification in relevant cases.
- Emphasizes the diverse clinical spectrum of DISH, extending beyond musculoskeletal symptoms.
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