A Geriatric Patient with Diffuse Idiopathic Skeletal Hyperostosis

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2010 Apr 1

PMID 20355249

Citations 3

Authors

Berrin Karadag

Huseyin Cat

Selma Aksoy

Banu Ozulu

Ali Osman Ozturk

Sukru Oguz

Yuksel Altuntas

Affiliations

Soon will be listed here.

Abstract

The most frequent health problems seen in senility are chronic and degenerative diseases. A 75-year-old male patient with the complaints of weight loss and difficulty in swallowing was admitted to our hospital from a nursing home. Upper system fiber-optic gastrointestinal endoscopy was performed and a mass at the junction of the hypopharynx and esophagus just below recessus piriformis obstructing almost the whole of the lumen and blocking the distal passage was detected. Computed tomography revealed marked narrowing secondary to osseous hypertrophy in the air column of the hypopharynx and proximal esophagus. Diffuse idiopathic skeletal hyperostosis or Forestier's disease is an idiopathic disease characterized by the ossification of the anterior longitudinal ligament of vertebra and some of the extraspinal ligaments. In the present case we aim to discuss an elderly patient who suffered from dysphagia and weight loss and the diagnostic stages.

Citing Articles

Extraskeletal symptoms and comorbidities of diffuse idiopathic skeletal hyperostosis.

Terzi R World J Clin Cases. 2014; 2(9):422-5.

PMID: 25232544 PMC: 4163763. DOI: 10.12998/wjcc.v2.i9.422.

Forestier's disease and its implications in otolaryngology: literature review.

Pulcherio J, Velasco C, Machado R, Souza W, Menezes D Braz J Otorhinolaryngol. 2014; 80(2):161-6.

PMID: 24830976 PMC: 9443967. DOI: 10.5935/1808-8694.20140033.

Dysphagia due to forestier disease: three cases and systematic literature review.

Dutta S, Das Biswas K, Mukherjee A, Basu A, Das S, Sen I Indian J Otolaryngol Head Neck Surg. 2014; 66(Suppl 1):379-84.

PMID: 24533422 PMC: 3918286. DOI: 10.1007/s12070-011-0334-3.

References

Belanger T, Rowe D . Diffuse idiopathic skeletal hyperostosis: musculoskeletal manifestations. J Am Acad Orthop Surg. 2001; 9(4):258-67. DOI: 10.5435/00124635-200107000-00006. View

Epstein N . Simultaneous cervical diffuse idiopathic skeletal hyperostosis and ossification of the posterior longitudinal ligament resulting in dysphagia or myelopathy in two geriatric North Americans. Surg Neurol. 2000; 53(5):427-31; discussion 431. DOI: 10.1016/s0090-3019(00)00227-5. View

Curtis J, Lander P, Moreland L . Swallowing difficulties from "DISH-phagia". J Rheumatol. 2004; 31(12):2526-7. View

Vrouenraets B, Been H, Brouwer-Mladin R, Bruno M, van Lanschot J . Esophageal perforation associated with cervical spine surgery: report of two cases and review of the literature. Dig Surg. 2004; 21(3):246-9. DOI: 10.1159/000079495. View

ROTES-QUEROL J . Clinical manifestations of diffuse idiopathic skeletal hyperostosis (DISH). Br J Rheumatol. 1996; 35(12):1193-4. DOI: 10.1093/rheumatology/35.12.1193. View

Uppal S, Wheatley A . Transpharyngeal approach for the treatment of dysphagia due to Forestier's disease. J Laryngol Otol. 1999; 113(4):366-8. DOI: 10.1017/s0022215100144007. View

Alper F, Akgun M, Kantarci M, Eroglu A, Ceyhan E, Onbas O . Demonstration of vascular abnormalities compressing esophagus by MDCT: special focus on dysphagia lusoria. Eur J Radiol. 2006; 59(1):82-7. DOI: 10.1016/j.ejrad.2006.01.013. View

Kritzer R, Rose J . Diffuse idiopathic skeletal hyperostosis presenting with thoracic outlet syndrome and dysphagia. Neurosurgery. 1988; 22(6 Pt 1):1071-4. DOI: 10.1227/00006123-198806010-00017. View

Lambert J, Tepperman P, Jimenez J, Newman A . Cervical spine disease and dysphagia. Four new cases and a review of the literature. Am J Gastroenterol. 1981; 76(1):35-40. View

10.

Uzunca K, Birtane M, Tezel A . Dysphagia induced by a cervical osteophyte: a case report of cervical spondylosis. Chin Med J (Engl). 2004; 117(3):478-80. View

11.

Srinivas P, George J . Cervical osteoarthropathy: an unusual cause of dysphagia. Age Ageing. 1999; 28(3):321-2. DOI: 10.1093/ageing/28.3.321. View

12.

Nelson R, Urquhart A, Faciszewski T . Diffuse idiopathic skeletal hyperostosis: a rare cause of Dysphagia, airway obstruction, and dysphonia. J Am Coll Surg. 2006; 202(6):938-42. DOI: 10.1016/j.jamcollsurg.2006.02.030. View

13.

Masiero S, Padoan E, Bazzi M, Ponzoni A . Dysphagia due to diffuse idiopathic skeletal hyperostosis: an analysis of five cases. Rheumatol Int. 2009; 30(5):681-5. DOI: 10.1007/s00296-009-0967-7. View

14.

Weinfeld R, Olson P, Maki D, Griffiths H . The prevalence of diffuse idiopathic skeletal hyperostosis (DISH) in two large American Midwest metropolitan hospital populations. Skeletal Radiol. 1997; 26(4):222-5. DOI: 10.1007/s002560050225. View

15.

Masiero S, Ragona R, Bottin R, Volante D, Ortolani M . An unusual cause of aspiration pneumonia. Aging Clin Exp Res. 2006; 18(1):78-82. DOI: 10.1007/BF03324645. View