Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient

Diffuse idiopathic skeletal hyperostosis (DISH) is an under-diagnosed condition producing flowing ossification of the antero-lateral ligaments of the spine. Affecting predominantly males over 65 years old, it is an unusual cause of dysphagia and dysphonia. We report a 45-year-old mole with a three y...

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Autores principales: Urrutia,Julio, Bernardín,Andrés, Morales,Cristián, Millán,Rodrigo
Lenguaje:English
Publicado: Sociedad Médica de Santiago 2013
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000600017
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spelling oai:scielo:S0034-988720130006000172013-10-08Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patientUrrutia,JulioBernardín,AndrésMorales,CristiánMillán,Rodrigo Deglutition disorders Hyperostosis, diffuse idiopathic skeletal Diffuse idiopathic skeletal hyperostosis (DISH) is an under-diagnosed condition producing flowing ossification of the antero-lateral ligaments of the spine. Affecting predominantly males over 65 years old, it is an unusual cause of dysphagia and dysphonia. We report a 45-year-old mole with a three years history of dysphonia and three months of dysphagia. The initial diagnosis was gastroesophageal reflux, and an endoscopy ruled out esophageal luminal pathology. Cervical spine radiographs showed ossification of the cervical anterior longitudinal ligament with large, prominent osteophytes from C3 to C6, producing esophageal and upper airway compression; these images were compatible with DISH. Cervical osteophyte resection resulted in complete resolution of symptoms. DISH should be considered in the differential diagnosis of dysphagia and dysphonia.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.6 20132013-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000600017en10.4067/S0034-98872013000600017
institution Scielo Chile
collection Scielo Chile
language English
topic Deglutition disorders
Hyperostosis, diffuse idiopathic skeletal
spellingShingle Deglutition disorders
Hyperostosis, diffuse idiopathic skeletal
Urrutia,Julio
Bernardín,Andrés
Morales,Cristián
Millán,Rodrigo
Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient
description Diffuse idiopathic skeletal hyperostosis (DISH) is an under-diagnosed condition producing flowing ossification of the antero-lateral ligaments of the spine. Affecting predominantly males over 65 years old, it is an unusual cause of dysphagia and dysphonia. We report a 45-year-old mole with a three years history of dysphonia and three months of dysphagia. The initial diagnosis was gastroesophageal reflux, and an endoscopy ruled out esophageal luminal pathology. Cervical spine radiographs showed ossification of the cervical anterior longitudinal ligament with large, prominent osteophytes from C3 to C6, producing esophageal and upper airway compression; these images were compatible with DISH. Cervical osteophyte resection resulted in complete resolution of symptoms. DISH should be considered in the differential diagnosis of dysphagia and dysphonia.
author Urrutia,Julio
Bernardín,Andrés
Morales,Cristián
Millán,Rodrigo
author_facet Urrutia,Julio
Bernardín,Andrés
Morales,Cristián
Millán,Rodrigo
author_sort Urrutia,Julio
title Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient
title_short Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient
title_full Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient
title_fullStr Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient
title_full_unstemmed Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient
title_sort diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient
publisher Sociedad Médica de Santiago
publishDate 2013
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000600017
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AT moralescristian diffuseidiopathicskeletalhyperostosiscausingdysphagiainayoungpatient
AT millanrodrigo diffuseidiopathicskeletalhyperostosiscausingdysphagiainayoungpatient
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